
Latest contributions
Focal or diffuse coronary disease: how can PPG measurement contribute to clinical decision-making?
22 May 2025 – From EuroPCR 2025
How can physiology guide treatment decisions beyond ischemia detection? In this round-table recorded at EuroPCR 2025, Thomas Engstrøm, Carlos Collet and Jeroen Sonck examine how pullback pressure gradient (PPG) makes it possible to identify the distribution pattern of coronary artery disease—focal or diffuse—based on a continuous...

Euro4C Team
19 Jun 2024
Discover the individuals driving the Euro4C Group, including the main board, national coordinators, research and education groups, and the dedicated editorial team!

Update on coronary physiology in 2024
17 May 2024 – From EuroPCR 2024
This session provides an update on the available options for invasive coronary physiology in 2024. It reviews the latest evidence supporting the clinical adoption of invasive physiology indexes and shares practical tips and tricks for their application. Topics covered include CT-based physiology, pressure wire-based physiology, angiography-based...

Role of PCI in the contemporary management of patients with angina and coronary disease
17 May 2024 – From EuroPCR 2024
This session aims to generate awareness about the distinct phenotypes of coronary artery disease (focal, diffuse, serial) that can be identified through contemporary physiological tools, and the implications of these phenotypes on achieving successful functional PCI results. Participants will also discuss the considerations around using PCI...

CathWorks FFRangio - Enhancing patient care
16 May 2024 – From EuroPCR 2024
Explore this EuroPCR 2024 session to gain an in-depth understanding of how FFRangio utilizes routine angiograms to provide valuable insights, delve into the integration of FFRangio-guided decisions for optimizing patient care, and examine the practical application of FFRangio in routine clinical practice, encompassing its benefits and challenges.

Other coronary interventions: SSO2, angioPy & more
16 May 2024 – From EuroPCR 2024
This session showcases a diverse array of innovative coronary interventions and technologies, including the use of super-saturated oxygen therapy in STEMI, the validation of intracoronary flow velocity measurement, the application of laser and optics-based coronary intravascular lithotripsy, and the development of contrast-free and X-ray-free PCI techniques....

Refining PCI: the role of physiology and intracoronary imaging
15 May 2024 – From EuroPCR 2024
In this session, delve into a recorded case and two specialized lectures—one on the future of coronary physiology and the other on the future of IVUS. This session elucidates the significance of physiology and intracoronary imaging in PCI decision-making, delve into the use of pressure microcatheters...

Hotline: advances in coronary physiology
14 May 2024 – From EuroPCR 2024
This hotline session explores the latest advancements in coronary physiology and their implications for percutaneous coronary intervention (PCI). Topics covered include the influence of pathophysiological patterns of coronary artery disease on the safety and efficacy of PCI, the prognostic value of myocardial ischemic burden in STEMI...

How to make complex PCI safe, simple, and effective with new intracoronary and angiography imaging guidance
14 May 2024 – From EuroPCR 2024
Thanks to this session, learn how advanced imaging may guide and map complex PCI interventions, impacting on immediate results and clinical outcomes, by investigating which patients and lesions are complex, what are the practical issues to manage during PCI, and how modern AI-based high-resolution imaging can...

Coronary CT reading
18 May 2023 – From EuroPCR 2023
Watch this session to master reading and interpreting standard coronary CT angiography images, to learn how to determine lesion location, quantify stenosis, and to characterize plaques from CT imaging, while gaining the skills to differentiate between image artifacts and true coronary stenosis or plaques.

How to approach isolated ostial left circumflex
18 May 2023 – From EuroPCR 2023
This session examines the optimal treatment options for isolated ostial left circumflex lesions, considering both technical and physiological/imaging approaches. However, one question arises: does the concept of an "isolated ostial circumflex lesion" truly exist? Join the speakers to uncover the answer and gain valuable information into...

3DStent: a new era in stent enhancement
18 May 2023 – From EuroPCR 2023
Thanks to this session, get an overview of the concept of stent under-expansion, learn more about current tools to evaluate stent expansion, and follow the 3D stent symposium based on the presentation of different clinical cases.

How should I treat non-culprit lesions in a patient with STEMI
17 May 2023 – From EuroPCR 2023
You wonder whether complete revascularisation for STEMI patients is beneficial? You want to know how to assess non-culprit lesions? You wonder about the optimal timing for treating non-culprit lesions? You would like to be able to do more for STEMI patients? Then, this session replay is...

Insights into coronary physiology: pressure microcatheter for clinical decision-making and PCI optimisation
17 May 2023 – From EuroPCR 2023
In this session, analyze the case of a 71-year-old current smoker man with HTN and stable angina CCS II to understand how coronary physiology helps predict what is going to happen after PCI.

What causes INOCA?
17 Dec 2020
Watch now C. Berry, C. Collet , J. Escaned and J. Tremmel in this series of webinars on ischemia and no obstructive coronary artery disease

Interventional functional procedures in INOCA
18 Jan 2021
Watch now A. Chieffo, C. Collet and H. Mejia-Renteria in this series of webinars on ischemia and no obstructive coronary artery disease

PPG: a novel dimension in coronary physiology
24 Nov 2021
Discover the replay of this PCR Webinar on coronary physiology with B. De Bruyne, C. Collet, D. Perera and J. Sonck

Should we measure FFR post-PCI?
26 Oct 2021
Discover the replay of this PCR Webinar on coronary physiology with B. De Bruyne, C. Collet, D. Collison and J. Escaned

Role of physiology during PCI
19 May 2022 – From EuroPCR 2022
Follow, LIVE from Barcelona, Spain, the case of a 61-year-old female patient, former smoker, diabetic, suffering from hypercholesterolemia, dyspnea, and chest pain on exertion for years, admitted for NYHA III heart failure, and discover the importance of physiology and intracoronary imaging in daily practice.

How to use coronary CT imaging and physiology for multivessel disease
18 May 2022 – From EuroPCR 2022
How can imaging and physiology help treat this 77-year-old female patient, ex-smoker, with dyslipidemia, stable angina, and EF at 60 %, or this 67-year-old male patient with HTN, CCS class III, and LV EF at 61 %? The answers in this EuroPCR 2022 session.

Coronary microvascular dysfunction in case examples: invisible, measurable, treatable
18 May 2022 – From EuroPCR 2022
In this very practical session from EuroPCR 2022 focusing on microcirculation, learn how to perform a step-by-step assessment of the coronary microcirculation in the cathlab, discuss the whole management of patients with coronary microvascular dysfunction (CMD), and understand how to use coronary flow reserve (CFR) and index...

Pressure microcatheter guided PCI: to optimise stent implantation and to safely assess the functional result
18 May 2022 – From EuroPCR 2022
Through the case study of a 71-year-old female patient with hypertension, dyslipidemia, previous TIA, and stress-induced chest pain, among other things, this EuroPCR 2022 session will allow you to understand the major role of longitudinal functional evaluation of CAD, learn tips and tricks in using pressure microcatheter in PCI...

Towards a personalised coronary intervention with CT-guided robotic-assisted PCI
17 May 2022 – From EuroPCR 2022
This EuroPCR 2022 session aims to show how coronary CT angiography can help in pre-procedural planning and guidance of PCI to achieve the best patient outcomes. It also explores the role of robotic-assisted PCI in improving procedural accuracy, radiation safety, and ergonomics within the cathlab. Finally, it demonstrates how...

CT-guided Robotic-assisted revascularisation in multi-vessel coronary artery disease
23 Sep 2021
A 67-year-old female with a history of recurrent episodes of chest pain presented at the outpatient clinic. She also had a history of hyperlipidaemia, arterial hypertension, peripheral artery disease, diabetes mellitus type 2 and she was an active smoker.

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EuroPCR 2021 Hotlines / Late-Breaking Trials in physiology: FAST II, TARGET FFR, P3, OLV Pullback, France PCI, and more!
27 May 2021 – From EuroPCR 2021
Find out more about various studies & registries in imaging:
- Angiography based Fractional Flow Reserve: the FAST II trial
- Instantaneous wave-free ratio for the assessment of nonculprit lesions
- Capacity of the PPG to predict functional revascularisation
- Clinical impact of FFR guided PCI

Modern PCI: how OCT, with the new ULTREON 1.0 software, supports you in guiding and optimising your procedure: a calcified lesion
20 May 2021 – From EuroPCR 2021
Watch this session presented by Zsolt Piroth, Emanuele Barbato, William Wijns, Carlos Collet, Tommaso Gori, Niels Van Royen and Antonio Maria Leone in order to receive tips and tricks demonstrating how physiology and/or intra-vascular imaging can be integrated in your everyday PCI, and to learn more about...

The role of physiology, CT and intracoronary imaging for the management of multivessel disease (Part 1)
19 May 2021 – From EuroPCR 2021
Watch this session if you want to understand the role of invasive physiology in planning, guiding and evaluating your PCI strategy in MVD, to appreciate the role of intravascular imaging in the optimisation of PCI in such patients and to explore the expanding role of CT...

Contemporary adoption of invasive coronary physiology with microcatheter-based technology
19 May 2021 – From EuroPCR 2021
Watch this session presented by Emanuele Barbato, Bernard De Bruyne, Jeroen Sonck, Simone Biscaglia, Salvatore Brugaletta and Carlos Collet in order to understand the role of microcatheter-based physiology also through a critical appraisal of the available literature, to know how to correctly adopt the novel TruePhysio microcatheter, and...

The role of physiology, CT and intracoronary imaging for the management of multivessel disease (Part 2)
19 May 2021 – From EuroPCR 2021
Watch this session if you want to understand the role of invasive physiology in planning, guiding and evaluating your PCI strategy in MVD, to appreciate the role of intravascular imaging in the optimisation of PCI in such patients and to explore the expanding role of CT...

The DEFINE-FLOW study combined CFR and FFR assessment
19 Oct 2020
At TCT Connect 2020, Nils Johnson presented the results of the DEFINE-FLOW study. Carlos Collet provides a summary of the key messages.

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