Javier Escaned
Declaration of interest
| Function | Company |
|---|---|
| None |
Latest contributions
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!
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.
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...
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.
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...
Physiologic guidance and optimisation in multivessel disease
16 May 2023 – From EuroPCR 2023
Follow the case study of this 70-year-old ex-smoker male patient with HTN, dyslipidemia, previous primary PCI to proximal and mid LAD because of anterolateral STEMI, presenting with syncope, and find out, through the debates around his treatment, how to use physiology in 2023.
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...
Results from the DCR4Contrast (Dynamic Coronary Roadmap for Contrast reduction) Trial
16 May 2023 – From EuroPCR 2023
Javier Escaned joins Ajay Kirtane to discuss the DCR4C Trial he conducted, and more specifically to present the main results.
The framework of the study was the contrast reduction during PCI, which is closely related to what is now known as ultra-low contrast PCI, and which mainly concerns particularly...
What's new in treatment of stent failure - a closer look at stent restenosis and thrombosis
This session shows cases from daily practice that illustrate the problems of stent failure from a general perspective. It allows for a better understanding of the mechanisms of stent restenosis & thrombosis on the one hand, and the role of DCBs on the other.
The Consistency of Coronary IVL Across Calcium Types, Genders and Over Time
02 Dec 2021
Discover the replay of this PCR Webinar on calcified lesion with E. Barbato, J. Escaned, M. McEntegart and F. Ribichini
The SYNTAX II strategy: integrating best practices in complex PCI
23 Apr 2018
View the replay of this Webinar on the SYNTAX II strategy: integrating best practices in complex PCI, with J. Escaned, J. Hill and F. Ribichini.
