Francesco Burzotta
Latest contributions
Complex bifurcation PCI: LIVE Educational Case from Leipzig Heart Centre - Leipzig, Germany
21 May 2026 – From EuroPCR 2026
Through a live educational case from Leipzig Heart Centre, this session addresses the complexities of bifurcation PCI. It discusses criteria defining complex bifurcation lesions, management strategies for challenging side branch access, and evaluates treatment options for true bifurcation lesions. The session includes patient presentation, detailed imaging...
Complications during left main PCI: how to manage and how to avoid
20 May 2026 – From EuroPCR 2026
This session addresses the identification, prevention, and management of complications arising during left main percutaneous coronary intervention (PCI). Through detailed case presentations and analyses, it highlights anatomical and procedural risk factors, strategies to anticipate and recognize complications such as stent deformation and coronary perforation, and effective...
Choosing the right strategy for isolated ostial left anterior descending artery or circumflex coronary lesions
20 May 2026 – From EuroPCR 2026
This session examines optimal strategies for managing isolated ostial lesions in the left anterior descending and circumflex arteries, comparing left main crossover, ostial stenting, and drug-coated balloon (DCB) approaches. It emphasizes integrating multimodality imaging for informed decision-making, illustrated through detailed case discussions.
Evolving bifurcation treatment practices: DCB, angio-based FFR and side branch optimisation
19 May 2026 – From EuroPCR 2026
This EuroPCR 2026 session explores the evolving landscape of bifurcation PCI, focusing on drug-coated balloon (DCB) strategies, angio-based fractional flow reserve (FFR) and side branch optimisation. It highlights how new evidence and physiology-guided tools are reshaping decision-making in this complex lesion subset.
Discussions include insights from the...
Main vessel stenting in DK-Crush: lessons from stepwise provisional strategy
- Optimisation of side branch stenting
- How to optimally deploy the second stent
Commented by Goran Stankovic and William Wijns
Part 3 of a 3-part series. Previous episode: How to correct incomplete crush and how to prevent lack of carina coverage
DK Crush like you’ve never seen it before
- Multi-modality simulation to unveil the hidden parts & small obstacles that can result in complications
- Angioscopy directly inside the coronary artery to provide a better understanding of 3D stent configuration
Commented by Goran Stankovic and William Wijns
Part 1 of a 3-part series.
Next episode: How to correct incomplete crush and...
Highlights of science and education in cardiovascular interventional medicine in 2025
22 Dec 2025
Dear Colleagues, dear PCR Companions,
As we welcome a New Year, it is the perfect time to reflect on what we achieved together over the past year - both as a celebration of our collective success and as motivation to continue improving in the year ahead.
2025 was...
PCI for complex bifurcation disease - LIVE Case
23 May 2025 – From EuroPCR 2025
A 60-year-old male patient presented with an inferior STEMI one month ago, which was treated with RCA and LCx PCI. He was referred for LAD/diagonal PCI. The LV function was reduced (EF 45 %). The team performed a DK crush PCI, guided by IVUS.
LIVE Educational Case...
How to perform DK-Crush for left main bifurcation stenting
Recommended by PCR
22 May 2025 – From EuroPCR 2025
Including: A clinical case performed live in Poznan, Poland, showing conventional guidance with angiography and intravascular imaging
Modern technology: machine learning, AI and 3D (multiple simulation techniques)
A series of 3 episodes
Through decisions in complex left main PCI – Left main trifurcation
22 May 2025 – From EuroPCR 2025
This session offers an in-depth analysis of complex left main trifurcation PCI, covering evaluation through imaging and physiology, lesion preparation strategies, and treatment options including stepwise provisional approaches, upfront two-stent techniques, and drug-coated balloons.
High thrombus burden in STEMI
22 May 2025 – From EuroPCR 2025
This session addresses the management of high thrombus burden in STEMI patients. It reviews available tools and strategies for thrombus management, presents multiple case-based discussions illustrating treatment decisions, and explores the evolving role of thrombus aspiration in contemporary practice.
How to correct incomplete crush and how to prevent lack of carina coverage
- Differentiating between complete and incomplete crush
- The importance of sequential crush and bigger balloons, adequately sized according to proximal vessel diameter
Commented by Goran Stankovic and William Wijns
Part 2 of a 3-part series:
Previous episode: DK Crush like you’ve never seen it before
Coming up next: Main vessel stenting in DK-Crush, lessons...
Left main and complex bifurcation stenting
22 May 2025 – From EuroPCR 2025
In this EuroPCR 2025 session, discover best practices for managing left main and challenging bifurcation lesions, from choosing a stepwise provisional side branch stenting strategy to using intracoronary imaging and physiology to guide and optimise PCI results.
Learn how the Ultimaster Nagomi™ sirolimus-eluting stent system builds on...
Through decisions in complex left main PCI - Isolated ostial left circumflex
21 May 2025 – From EuroPCR 2025
Navigate complex isolated ostial left circumflex lesions with a focus on the integration of imaging and physiological assessment. Learn treatment options and optimisation strategies to improve long-term outcomes in left main PCI through detailed case presentations and expert guidance.
How should I treat ostial left circumflex stenosis?
18 Feb 2025
Watch this webinar on Monday 3 March at 3:00pm (UTC+1) with G. Stankovic, M. Lesiak and F. Burzotta and learn how to evaluate left main 0,0,1 bifurcation lesion in terms of morphology and clinical relevance, and much more!
Imaging-guided left main PCI - LIVE case
Recommended by PCR
17 May 2024 – From EuroPCR 2024
A 53-year-old male with a history of advanced malignancy (lung adenoma) and mid LAD PCI last year, along with multiple risk factors (hypertension, dyslipidemia, diabetes, and smoking), presented with angina and a positive stress test and CT. The angiography and CT showed significant left main stenosis...
Non left main bifurcation - LIVE case
17 May 2024 – From EuroPCR 2024
A 53-year-old male presented with a late STEMI one month ago. Coronary angiography revealed three-vessel disease: CX occlusion (culprit lesion), RCA bifurcation stenosis, and severe mid LAD-D1 (1-1-1) stenosis. The operators performed RCA PCI during the STEMI hospitalization.
In this live case, they performed the LAD-D1 bifurcation...
How to approach isolated ostial left circumflex artery lesion?
15 May 2024 – From EuroPCR 2024
Thanks to this session, explore the role of imaging and physiology in assessing ostial circumflex lesions, examine treatment options for the ostial left circumflex artery, and discuss optimization strategies to enhance long-term outcomes.
Tools and technologies guiding decision making in bifurcation PCI
15 May 2024 – From EuroPCR 2024
In this session, discover that provisional stenting in routine non-LM bifurcation using Resolute Onyx DES yields good mid-term outcomes without side branch intervention, provided the stent is sized to the distal reference and the side branch remains patent after a systematic POT. Learn how bifurcation stenting...
Left main and complex bifurcation stenting
14 May 2024 – From EuroPCR 2024
Watch this session focused on a patient with distal left main stenosis to understand that the stepwise provisional side branch (SB) stenting strategy is the standard approach for most left main trifurcation lesions. Discover the importance of optical frequency domain imaging for strategy determination and bifurcation...
How to perform angiographic check after large-sheath removal in single access procedures
18 Mar 2024
In the absence of other arterial access, this step-by-step tutorial shows how to perform anterograde angiography of the arterial axis after removal of the large sheath, making it easier to recognise and rapidly manage vascular complications such as arterial lesions and haemostasis failure.
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How to perform simultaneous kissing balloon inflation with a single inflation device
05 Oct 2023
The idea is to simplify the clinical practice of kissing balloon inflation (KBI) by making this technique single-operator and automatically associated with simultaneous balloon deflation.
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Left main and complex bifurcation stenting
18 May 2023 – From EuroPCR 2023
Want more training on bifurcation stenting? Learn from the case of this 75-year-old active man, a retired engineer, suffering from effort angina CCS 3 for 6 months, referred to the centre by his cardiologist for a coronary CT scan. He is a former smoker, has a...
Can we use provisional stent strategy in complex bifurcation lesions?
18 May 2023 – From EuroPCR 2023
Watch this session to learn when a provisional stent strategy is appropriate for complex bifurcation lesions, discover optimization techniques for provisional stenting, and understand the scenarios that necessitate stenting the side branch.
Bifurcation with provisional stent strategy - LIVE case
17 May 2023 – From EuroPCR 2023
Learn more about a 65-year-old diabetic male patient with BMI 31, NYHA III shortness of breath, and a mid-calcified lesion on proximal and mid-part of LAD. QFR and µFR were significant for the 2 LAD lesions (0.73 and 0.74). The proximal lesion was a bifurcation Medina 1-0-1...
Complex bifurcation PCI - LIVE case
17 May 2023 – From EuroPCR 2023
Study the case of this 69-year-old male patient with recent PCI on LAD presenting chronic coronary syndrome. Angiography showed calcified stenosis on bifurcation of proximal CX and large obtuse marginal 1, Medina 0-1-1.
The PCI strategy was an OCT-guided TAP technique:
7F guiding catheter, predilatation with semi-compliant and non-compliant...
1st stent in left main PCI: simple but not too simple
03 Jan 2023
Watch the replay of the 1st webinar on bifurcation with Goran Stankovic. You’ll learn all about '1st stent in left main PCI'
TAVI challenges: session 1
27 Nov 2022 – From PCR London Valves 2022
Discover a series of TAVI challenges shared by your peers: a transfemoral TAVR through a severely tortuous and horizontal aorta in a morbidly obese patient, TAVI for pure non-calcified severe aortic regurgitation in a large annulus, peripheral access calcifications and more.
TAVI: vascular access and bleeding complications
27 Nov 2022 – From PCR London Valves 2022
To learn more about FAST ACCESS Pilot, transfemoral-only TAVI, next-generation suture-mediated closure device in TAVR, or percutaneous axillary TAVI under local anaesthesia, among others, watch this session from PCR LV 2022!
How should I perform T and TAP to reduce the risks of metallic neo-carina?
22 Jul 2021
Watch the replay of this PCR Webinar with A. Banning F. Burzotta and G. Stankovic
