Javier Escaned
Declaration of interest
| Function | Company |
|---|---|
| None |
Latest contributions
Closing Ceremony
28 Feb 2026 – From Euro4C Annual Meeting 2026
The closing ceremony marks the conclusion of the conference, providing a summary of key learnings, acknowledgments, and final reflections on the advancements and discussions presented throughout the event.
Novel Hertz Contact intravascular lithotripsy: calcium fragmentation with zero trade-offs
27 Feb 2026 – From Euro4C Annual Meeting
This session introduces the novel Hertz Contact intravascular lithotripsy system, designed for effective calcium fragmentation without trade-offs. It covers lesion types amenable to treatment, system mechanism, optimization tips, and discusses real-world cases along with supporting clinical trial evidence.
Introducing the next era of coronary intravascular lithotripsy: an aero-volution in calcium modification
27 Feb 2026 – From Euro4C Annual Meeting
Explore the next era of coronary intravascular lithotripsy featuring innovative technology for calcium modification. This session covers the unique mechanism of action, practical application in complex cases, and recent clinical evidence supporting its safety and efficacy.
Chronic coronary artery disease: what progress we made over the last 20 years
12 Feb 2026
Discover what D. Milasinovic and J. Escaned shared on chronic coronary artery disease.
All about PCR’s Teaching Assessment Board (TAB)
03 Dec 2025
Learn how session feedback is compiled to create a virtuous cycle of continuous refinement for education in #interventionalcardiology
Clinical and technical factors for decision-making in treatment of left main coronary artery disease
22 May 2025 – From EuroPCR 2025
Delve into decision-making factors in treating left main coronary artery disease, particularly in challenging scenarios. This session discusses the application of new SOLACI guidelines, critical strategy reflections, and real-world cases illustrating optimal left main PCI approaches.
A mindset shift in the cathlab: leveraging contemporary technologies for planning and guiding PCI in complex patients
22 May 2025 – From EuroPCR 2025
This session examines evolving catheterisation lab workflows, highlighting how integrated imaging, physiology, and procedural strategies are reshaping PCI practices. Speakers emphasize the importance of advanced pre-procedural planning using modalities such as intravascular ultrasound (IVUS) to optimise stent deployment, and cardiac computed tomography angiography (CCTA) to improve diagnosis...
Complex multivessel disease - LIVE Case
21 May 2025 – From EuroPCR 2025
An 89-year-old male patient presented with stable angina, preserved LV function and some risk factors such as hypertension and diabetes. CT scan and angiography revealed occlusion of proximal RCA and bifurcation lesions on LAD and circumflex (medina 1,1,1). Operators treated the bifurcation lesions with provisional stenting.
Regarding...
Complex PCI for stent failure: LIVE Educational Case from Hospital Clínico San Carlos - Madrid, Spain
21 May 2025 – From EuroPCR 2025
This live educational case from Hospital Clínico San Carlos, Madrid, offers an in-depth look at complex PCI for stent failure. Learn how intracoronary imaging identifies failure mechanisms, guides treatment of recurrent restenosis, and explores drug-coated balloon options to optimize patient outcomes.
From imaging to intervention: cutting-edge solutions for calcified coronary stenoses management
20 May 2025 – From EuroPCR 2025
Watch this EuroPCR 2025 session on managing calcified coronary stenoses, featuring a recorded live case, two focused lectures, and expert faculty insights. Learn why intravascular ultrasound (IVUS) is essential for assessing lesion severity and morphology, discover how selecting the right calcium modification tools drives procedural success...
How to implement the diagnosis of INOCA in everyday practice?
20 May 2025 – From EuroPCR 2025
In this exchange, Vijay Kunadian and Javier Escaned explore the real-world implementation of INOCA (Ischemia with Non-Obstructive Coronary Arteries) and ANOCA (Angina with Non-Obstructive Coronary Arteries) diagnostic pathways. Drawing on the 2024 CCS (Chronic Coronary Syndromes) guidelines, and the EAPCI consensus document, they discuss why these...
Drug-coated balloons as a first choice for patients with de novo lesions: pros and cons
25 Sep 2024
Watch the replay of this webinar about the concept of DCB in native vessel disease and so 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!
Multivessel disease PCI guided by physiology and IVUS - LIVE case
16 May 2024 – From EuroPCR 2024
A 78-year-old woman with hypertension, dyslipidemia, and obesity, presented with angina CCS2 and preserved LV function. The coronary angiogram showed stenosis in the RCA (proximal and mid), CX, and calcified proximal and mid LAD involving D1 and D2.
The operators performed PCI on the RCA (1 stent)...
Imaging-guided PCI for stent failure - LIVE case
16 May 2024 – From EuroPCR 2024
An 86-year-old male with PAD, a stroke in 2007, and a history of LAD PCI in 2006, presented with unstable angina due to LAD stent restenosis involving D1 and D2, with preserved LV function.
Guided by OCT, the operators performed stenosis preparation using IVL, treated the distal...
Optimising treatment for patients with severe calcified lesions: the role of orbital atherectomy
In this session featuring a LIVE case demonstration from Madrid, Spain, gain insights into identifying calcified lesions requiring plaque modification, effectively guiding lesion treatment with OCT support, and correctly applying orbital atherectomy, while sharing experiential knowledge step by step.
Ultra-low contrast techniques to improve the safety and quality of PCI in complex and high-risk patients
14 May 2024 – From EuroPCR 2024
Tune in to this session to discover how reducing reliance on contrast opacification enhances procedural safety and enables more thorough revascularization in complex PCI scenarios. Learn that ultra-low contrast (ULC) PCI encompasses various interventional skills and specialized tools, many already familiar to interventional cardiologists. Embrace a...
AID-ANGIO study: performing ad hoc microvascular assessment during diagnostic coronary angiography
14 May 2024 – From EuroPCR 2024
Christopher Cook interviews Javier Escaned to unravel the AID-ANGIO study, probing its purpose, methodology, and key outcomes. This study aimed to showcase the viability, safety, and diagnostic benefits of performing invasive functional testing ad hoc in managing patients with chronic coronary syndromes.
This interview was filmed at...
Ultra-low contrast techniques in complex and high-risk coronary interventions
07 Dec 2023 – From GulfPCR-GIM 2023
Explore this session to gain insights into reducing operator reliance on contrast in PCI for enhanced safety and quality, particularly in complex scenarios. Discover essential tips, tricks, and specialized tools tailored for ultra-low-contrast PCI. Additionally, immerse yourself in a practical, step-by-step example through a recorded ultra-low-contrast...
Challenging cases – Best case submissions
07 Dec 2023 – From GulfPCR-GIM 2023
Explore catheter intervention for mechanical valve thrombosis, understand severe chest pain and shock in a young female patient, discover iatrogenic left main coronary artery type F dissection, address refractory ascites transitioning from internal medicine to interventional cardiology, and witness a narrowly avoided rotablation nightmare in this...
Multivessel disease PCI guided by physiology and intracoronary imaging - LIVE case
19 May 2023 – From EuroPCR 2023
A 68-year-old non-diabetic male patient presented with recent exertional chest pain and good LV function. Baseline angiography revealed severe stenosis of the proximal RCA, mid-stenosis of the proximal and mid-CX, and mid-stenosis of the proximal and mid-LAD.
Physiology revealed significant stenosis of proximal CX and proximal LAD.
IVUS...
Intravascular lithotripsy in the real world: the revolution continues
18 May 2023 – From EuroPCR 2023
In this session, review the evolution in the use of IVL over the last few years, with a widening of the indications, observe that OCT can underestimate the number and depth of calcium fractured induced by IVL, or see that the technique is safe and effective...
EuroPCR 2023 Hotlines/Late-Breaking Trials: focus on wire and image-based physiology
18 May 2023 – From EuroPCR 2023
Find out more about a series of studies focusing on wire and image based physiology: Coronary microvascular function and CT coronary angiography trial aiming to assess whether endotype diagnosis informed by coronay function testing vs angiography improved angina; a 5-year follow up of the DEFINE FLAIR;...
Contemporary management of patients with INOCA: a practical guide
17 May 2023 – From EuroPCR 2023
Enrich your understanding of ischemia with non-obstructive corona arteries (INOCA) by watching this very practical session, where you'll discover precious knowledge on the prevalence and causative factors of this condition. Dive into the diagnosis algorithm used for INOCA and explore the latest advancements in its management.
Orbital atherectomy, a versatile tool in managing complex scenarios of vessel calcification
17 May 2023 – From EuroPCR 2023
The aim of this session is to address the question of how to optimise outcomes for high-risk patients by analyzing two real-life cases for discussion: a distal calcified left main trifurcation and a high-risk PCI with orbital atherectomy.
Ultra-low contrast PCI - An indispensable toolset in complex coronary interventions and higher-risk patients
17 May 2023 – From EuroPCR 2023
Discover the indispensable toolset of ultra-low contrast (ULC) percutaneous coronary intervention (PCI) in complex coronary interventions and higher-risk patients in this session. Gain a comprehensive understanding of how ULC PCI can enhance the safety and quality of revascularization in complex procedures and learn practical aspects from...
DEFINE FLAIR 5-year and Reveal iFR: learnings on coronary physiology
18 May 2023 – From EuroPCR 2023
Javier Escaned invites Justin Davies and Patrick Serruys to give an update on two trials presented at EuroPCR 2023: DEFINE-FLAIR 5-year follow-up and Reveal iFR.
DEFINE-FLAIR was the largest physiological study of its kind at the time, testing iFR in a non-inferior setting against FFR. The data...
What are the INOCA endotypes and how to diagnose?
18 May 2023 – From EuroPCR 2023
Following the release of the EAPCI Expert Consensus on ischaemia with non-obstructive coronary arteries (INOCA), Vijay Kunadian and Javier Escaned discuss the different types of angina and the mechanisms of ischaemia as well as the options available to better diagnose this condition.
A stepwise physiological escalation strategy for the optimal management of chronic coronary syndrome in 2023
16 May 2023 – From EuroPCR 2023
In this session focused on epicardial and microcirculatory dysfunction, discuss how to treat both a 72-year-old smoker man with HTN, diabetes, hyperlipidemia, who presented with angina and dyspnea with moderate exertion over the last months, and a 69-year-old ex-smoker man with HTN and untreated LDL 125...
EuroPCR 2023 Hotlines/Late-Breaking clinical data: focus on left main and bifurcation PCI
16 May 2023 – From EuroPCR 2023
Listen to the presenters give you the latest information on left main and bifurcation from a series of late-breaking trials presented at EuroPCR 2023:
- The five-year follow-up of the EBC TWO 5-year follow-up study, which evaluated provisional versus culotte intervention for coronary bifurcations
- KISS: the benefit...
