Giulio Guagliumi

Giulio Guagliumi

Interventional cardiologist / Cardiologist
IRCCS Galeazzi Orthopedic Institute - Milano, Italy

Latest contributions

Intracoronary imaging guidance for PCI

22 May 2025 – From EuroPCR 2025

This session highlights the value of intracoronary imaging guidance for PCI, showcasing optical coherence tomography in complex ACS lesions, long-term outcomes from imaging-guided PCI trials, AI-enhanced quantification, and comparative analyses of intravascular lithotripsy versus rotational atherectomy.

Intracoronary imaging guidance for PCI

New perspectives in 3D calcium visualisation with CT and angiography for complex PCI

21 May 2025 – From EuroPCR 2025

Thanks to this EuroPCR 2025 session, discover new perspectives on 3D calcium visualisation combining advanced imaging techniques like 3DStent, IVUS, and 3D angiography to enhance complex PCI. Learn from detailed calcium mapping and plaque assessment to guide strategic decisions and see these innovations applied in practice...

New perspectives in 3D calcium visualisation with CT and angiography for complex PCI

Role of imaging in ACS: from non-invasive to invasive investigations

20 May 2025 – From EuroPCR 2025

Explore the critical role of imaging in acute coronary syndrome (ACS) from non-invasive coronary CT angiography to invasive intracoronary imaging modalities. This session covers detection of culprit lesions, diagnostic strategies, and PCI optimization through real-world case examples.

Role of imaging in ACS: from non-invasive to invasive investigations

Tough cases, smart imaging

20 May 2025 – From EuroPCR 2025

This session showcases challenging cardiovascular cases where smart imaging techniques guide diagnosis and intervention. Highlights include innovative soft balloon angiography in complex patients, anatomical-physiological ischemic mismatch analysis, IVUS-guided evaluation of rare SVG stenosis, and the power of perspective in imaging interpretation.

Tough cases, smart imaging

Intracoronary imaging to guide management in ACS

16 May 2024 – From EuroPCR 2024

This session focuses on the role of intracoronary imaging, specifically IVUS and OCT, in the management of Acute Coronary Syndrome (ACS). Participants will learn when intracoronary imaging can facilitate diagnosis and guide PCI, as well as discuss image interpretation in the setting of ACS.

Intracoronary imaging to guide management in ACS

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...

How to make complex PCI safe, simple, and effective with new intracoronary and angiography imaging guidance

Intracoronary imaging: PCI guidance

14 May 2024 – From EuroPCR 2024

This session explores the use of various intracoronary imaging techniques to guide complex PCI procedures. It covers cases demonstrating the application of IVUS, OCT, and other imaging modalities in simplifying bifurcation PCI, managing restenotic DES ISR, assessing post-transplant vasculopathy, and optimizing PCI planning and precision. The...

Intracoronary imaging: PCI guidance

lmaging: The eyes of the Heart Team

14 May 2024

More than ever, Heart Team members rely on advanced imaging to guide procedures and aid in decision-making about patient selection and management. Just as imaging plays a prominent role in the cathlab, so it will be central to this year's EuroPCR content, with a track of specially...

OCT-guided PCI for a patient with calcified lesion

07 Dec 2023 – From GulfPCR-GIM 2023

Consult this session to gain insights into the significance of actionable intracoronary imaging in the patient treatment journey and acquire knowledge on adopting procedural strategies. Learn about the effective utilisation of orbital atherectomy for plaque modification and the impact of DES platforms in the management of...

OCT-guided PCI for a patient with calcified lesion

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.

Third generation OCT (HF-OCT): no more limits to the routine clinical use of intravascular imaging

17 May 2023 – From EuroPCR 2023

Imaging is critical to strategy management. If you want to get a sense of the contributions of HF-OCT in clinical routine, listen to the speakers talk about their real-world experience and learn from their case presentations.

Distal left main stenosis with a trifurcation - LIVE case

16 May 2023 – From EuroPCR 2023

Watch the case of a 69-year-old male patient with atrial fibrillation, peripheral artery disease and severe pulmonary disease, referred for worsening angina. The angiography revealed a tight distal left main stenosis on a trifurcation.

In this case, the PCI is guided by IVUS with provisional stenting (LM-LAD) and protect...

Distal left main stenosis with a trifurcation - LIVE case

OCT and artificial intelligence: a new shiny light for better decision making in complex coronary interventions

15 Dec 2022 – From GulfPCR-GIM 2022

Watch this case-in-point presentation focusing on decision-making in complex PCI using OCT plus AI to understand how to take the right measurement throughout the procedure, how artificial intelligence aids in decision making during imaging-guided PCI, and to gain skills in interpreting OCT imaging, among others!

OCT and artificial intelligence: a new shiny light for better decision making in complex coronary interventions

Multivessel disease PCI: role of imaging and functional assessment - Session with LIVE case

14 Dec 2022 – From GulfPCR-GIM 2022

In this GulfPCR-GIM 2022 LIVE session, watch the case of this 49-year-old smoker, dyslipidemic male patient, who presented one month ago with acute inferior STEMI complicated by electrical instability, and whose angio showed significant LAD stenosis, and moderate to severe LCx stenosis, and discuss the role of imaging...

Multivessel disease PCI: role of imaging and functional assessment

How an integrated OCT/XRay imaging workflow in your cathlab can improve your procedure planning and outcome treating calcified lesions?

14 Oct 2021

Discover the replay of this PCR Webinar on calcified lesions with P. Canova, G. Guagliumi and S. Watkins

Evaluation of the left main stem - imaging & function

10 Oct 2019

View this replay of a LIVE Webinar - Evaluation of the left main stem - imaging & function, with operators E. Barbato, G. G. Toth, G. Guagliumi, A. Chieffo.

Role of OCT in multivessel PCI

18 May 2022 – From EuroPCR 2022

How would you treat a 67-year-old male patient with dyslipidemia and family history of CAD, referred for coronary angiography because of severe, significant silent myocardial ischemia? Watch this LIVE case from Toulouse, France, to find out what your peers' choices are.

Role of OCT in multivessel PCI

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.

How to use coronary CT imaging and physiology for multivessel disease

Standardised criteria for stent optimisation in imaging-guided PCI

18 May 2022 – From EuroPCR 2022

Achieving standardised criteria for stent optimisation in imaging-guided PCI can be challenging and requires correct analysis of the pre-PCI lesion anatomy, correct use of dedicated tools, and rigorous methodology, as this should not be at the expense of patient safety: this is the key message of...

Standardised criteria for stent optimisation in imaging-guided PCI

Imaging in stent thrombosis

09 Oct 2021 – From AsiaPCR 2021

Watch this session to learn more about the importance of intracoronary imaging in stent thrombosis and the role of OCT and IVUS in its evaluation, as well as to discover how imaging helps to identify its mechanism and differentiate it from bystander findings and target specific treatment.

Imaging in stent thrombosis

A picture is worth a thousand words: how intravascular imaging can enhance the continuum of care

18 May 2021 – From EuroPCR 2021

Watch this session presented by Giulio Guagliumi and Tina Vilsbøll in order to understand how intravascular imaging can assess patient risk factors, how referring physicians can utilize and patients can benefit from an imaging-guided intervention, and how IVUS+NIRS images can be used as a tool to enhance patient education...

A picture is worth a thousand words: how intravascular imaging can enhance the continuum of care

Use of IVUS+NIRS imaging for decision making in acute coronary syndrome

Watch this video if you want to be informed about the frequency of culprit lesion ambiguity in ACS, to clarify the value of IVUS+NIRS imaging in challenging scenarios and to understand how to integrate the information provided by IVUS+NIRS imaging in the clinical decision-making process.

Speaker: Giulio...

Use of IVUS+NIRS imaging for decision making in ACS

Complex stenting optimised by intracoronary imaging

23 May 2019 – From EuroPCR 2019

Consult this session on intracoronary imaging for complex stenting to learn how to recognise image findings which may impact on stent strategy and results, how to react to imaging for complex stent optimisation and how to optimally guide interventions during bailout situations.

Complex stenting optimised by intracoronary imaging

Stent thrombosis: what's next?

23 May 2019 – From EuroPCR 2019

Consult this session to learn more about stent thrombosis, and discover how to identify, prevent, and manage this complication, particularly in patients with STEMI.

Stent thrombosis: what's next?

Clinical use of intracoronary imaging - EAPCI expert consensus

Tom Johnson talks to Giulio Guagliumi about the EAPCI expert consensus document on intracoronary imaging that he presented at EuroPCR 2019. He explains that the document “acknowledges difficulties we as an interventional community have in understanding how best to apply this exciting technology to ensure the...

Clinical use of intracoronary imaging - EAPCI expert consensus

LIVE demonstration from Humanitas Gavazzeni Hospital - Bergamo, Italy: Imaging and physiology for left main PCI

22 May 2019 – From EuroPCR 2019

Consult this session to discover the slides of the case "Imaging and physiology for left main PCI", transmitted live during EuroPCR 2019, and discover the patient's presentation and key clinical data.

Imaging and physiology for left main PCI