Jacek Legutko
Latest contributions
PCI for complex left main disease - LIVE Case
23 May 2025 – From EuroPCR 2025
An 82-year-old male patient with a history of STEMI and diagonal PCI (2004) presented with stable angina (CCS 2). CT imaging revealed 2 severe LAD stenoses (at the ostium and mid part), and a severe bifurcation stenosis at the Cx/OM1 confirmed by angiography. A staged PCI...
Troubleshooting in left main stenting: the role of imaging and physiology
20 May 2025 – From EuroPCR 2025
Expand your expertise on left main stenting by integrating intravascular imaging and physiology to improve outcomes. This session focuses on avoiding and managing stent deformation and optimal treatment of ostial left circumflex artery after crossover stenting, illustrated by clinical cases and expert commentary.
Supraflex for high-risk patients and lesions: from practice to evidence-based medicine proven through FIRE and COMPARE
20 May 2025 – From EuroPCR 2025
Discover the latest evidence on the Supraflex thin-strut sirolimus DES in complex cases—from small vessels and diabetes to STEMI—supported by OCT analysis. This session highlights Supraflex’s performance in high bleeding risk and elderly patients, featuring data from FIRE, COMPARE, EARTH HBR, and Cruz Senior studies. Get...
Are we giving the KISS the attention it deserves?
06 Jan 2025
Join G. Stankovic, J. Flensted, B.-K. Koo and J. Legutko to evaluate the role of systematic side branch intervention in left main and non-left main provisional stenting and much more!
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!
State-of-the-art on left main interventions in Latin America
16 May 2024 – From EuroPCR 2024
This session, in collaboration with the Sociedad Latino Americana de Cardiologia Intervencionista (SOLACI), provides insights into the management of left main coronary artery disease in Latin America. Attendees will learn about the revascularization guidelines for left main in the region, the approaches to left main bifurcations...
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...
Left main coronary interventions from basics to stenting techniques
15 May 2024 – From EuroPCR 2024
Management of patient with complex left main stenosis - LIVE case
14 May 2024 – From EuroPCR 2024
A 52-year-old male, with a history of STEMI treated by PPCI on RCA one month ago, presents with angina CCS 2 and severe, calcified stenosis in the LAD, CX, and distal left main. The treatment involved implanting 2 stents in the LAD after Rota preparation, followed...
Left main and bifurcation stenting optimised by intracoronary imaging
23 Nov 2023
Watch the replay of this webinar with G.Stankovic, N. Amabile and J. Legutko to understand how to use intracoronary imaging in clinical decision making of coronary bifurcation treatment and much more.
Interventional management of out-of-hospital arrest in 2023
18 May 2023 – From EuroPCR 2023
Consult this session if you want to learn current indications for immediate CAG in out-of-hospital cardiac arrest patients, to learn optimal PCI strategy in patients with out-of-hospital cardiac arrest and multivessel disease, and to learn peri-procedural anticoagulation and anti-aggregation treatment in comatose and intubated out-of-hospital cardiac...
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'
How should I prevent and manage complications when performing left main PCI?
08 Mar 2022
Watch the replay of this PCR Webinar on bifurcation with G. Stankovic, J. Fajadet, T. Lefèvre and J. Legutko.
How should I prevent and manage complications when performing left main PCI?
08 Mar 2022
Watch the replay of this PCR Webinar on bifurcation with G. Stankovic, J. Fajadet, T. Lefèvre and J. Legutko.
Pearls and pitfalls of provisional stenting
20 May 2022 – From EuroPCR 2022
Watch this video to learn all about the pearls and pitfalls of provisional stenting: discover the steps of the procedure, the specific technical difficulties and solutions, as well as the limitations of angiography to assess stent geometry.
Dealing with complex and high-risk interventions
18 May 2022 – From EuroPCR 2022
Thanks to these seven clinical cases, you will be able to learn how to manage risky and complex interventions, including a case of complex triple bifurcation lesions, a high-risk PCI case and a successful kissing balloon technique in transradial PCI.
How should I treat isolated ostial left anterior descending or left circumflex stenosis?
17 May 2022 – From EuroPCR 2022
How do I accurately nail the ostium of LCx/LAD? How safe is LAD/Cx stent protrusion into LM? Should I touch a "healthy" LM? How do I deal with a large difference in vessel diameter? These are the tough questions asked during this session, and answered by...
#6 - How should I prevent and manage complications when performing left main PCI?
07 Feb 2022
Watch the replay of this PCR Webinar on bifurcation with G. Stankovic, J. Fajadet, T. Lefèvre and J. Legutko.
Managing acute coronary perforation: a simulation-based team approach
19 May 2021 – From EuroPCR 2021
Watch this session if you want to apprehend how to deal with unexpected occurances, to appreciate the importance of pre/de-briefing and immersive team simulation rehearsal, and to review the lifesaving actions in case of coronary perforation.
This session was originally presented during EuroPCR 2021.
Culotte technique for bifurcation PCI - Session with LIVE demonstration
19 May 2021 – From EuroPCR 2021
Watch this session if you want to discuss which anatomy is suitable for the culotte stenting technique, to learn the steps of culotte stenting, and to review the pitfalls of culotte stenting.
This session was originally presented during EuroPCR 2021.
Challenging indications for coronary rotational atherectomy - Part 1
23 May 2019 – From EuroPCR 2019
Consult this session to learn valuable tips and indications from experts on how to successfully perform coronary rotational atherectomy, and discover a selection of challenging cases, such as rotational atherectomy within an under-expanded stent, rotablation in small severe-bending coronary artery in extreme high-risk and inoperable patient, and...
CTO in daily practice
23 May 2019 – From EuroPCR 2019
Consult this session to discover compelling clinical cases on chronic total occlusion, involving techniques and strategies such as ipsilateral retrograde approach, kissing wire, self-expandable stent, and more!
Advanced guidance, preparation and treatment tools in complex PCI
23 May 2019 – From EuroPCR 2019
Consult this session to learn more about how to simplify complex lesions with the use of physiology & imaging, how co-registration of iFR and IVUS helps in treating complex lesions, and more!
Distal left main stenosis: how to treat optimally with dedicated bifurcation stent BiOSS Lim C. Case-based session
22 May 2019 – From EuroPCR 2019
Consult this session to learn more about the multiple technological options with dedicated bifurcation stent for complex left main bifurcation lesions, and the applicability of this stent for the different clinical presentations.
How should I treat an iatrogenic left main dissection?
01 Apr 2019
A 72-year-old gentleman with previous history of primary percutaneous coronary intervention to the right coronary artery in December 2017 and moderate left ventricular dysfunction presented with stable angina in November 2018...
