Maciej Lesiak
Latest contributions
Left main and complex bifurcation stenting
21 May 2026 – From EuroPCR 2026
This focused session explores optimal strategies for treating left main and complex bifurcation coronary lesions, a setting that remains both anatomically and technically demanding.
It highlights the role of intracoronary imaging in refining procedural planning and optimising stenting strategy and technique. The discussion also reviews the mechanical...
Optimising the results of non-left main bifurcation PCI
21 May 2026 – From EuroPCR 2026
This session focuses on optimizing outcomes in non-left main bifurcation PCI by emphasizing lesion preparation and stent sizing guided by intravascular imaging. It integrates physiological and imaging assessments for confident final result evaluation and discusses criteria for selecting upfront two-stent strategies in bifurcation lesions.
PRISM-PCI - From clarity to cure
20 May 2026 – From EuroPCR 2026
PRISM-PCI offers cutting-edge imaging innovations and treatment strategies aimed at optimizing complex PCI procedures. This session explores the 'leave nothing behind' concept with thin-strut bioresorbable scaffolds and sirolimus drug-coated balloons, updates on ultra thin-strut DES platforms, including the SORT OUT XII trial, and introduces a comprehensive...
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.
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...
It is a calcified left main: do it well, do it safely
28 Feb 2026 – From Euro4C Annual Meeting 2026
This session addresses the complexities of percutaneous coronary intervention (PCI) in calcified left main coronary artery disease. It covers comprehensive planning including mechanical circulatory support, intravascular imaging, and bifurcation strategies. Attendees will also learn to anticipate and manage potential complications and apply various tools to ensure...
Advanced techniques in specific clinical and anatomical settings
27 Feb 2026 – From Euro4C Annual Meeting 2026
This session addresses advanced interventional techniques tailored to complex clinical and anatomical scenarios. It emphasizes risk assessment in complex patients, strategic procedural planning for high-risk and calcified lesions, and indications for mechanical support use to improve outcomes in challenging PCI cases.
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...
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
Provisional stenting with a scaffold stent and DCB in calcified left main bifucation - LIVE Case
11 Oct 2025 – From AICT-AsiaPCR 2025
A 59-year-old male presented with CCS for three months, with diabetes and normal LV function (72%). Coronary angiography showed a calcified left main stenosis (Medina 1,1,1) and diffuse calcification of the proximal and mid LAD. The LCX QFR was 0.86.
Treatment included extensive lesion preparation with lithotripsy...
Left main PCI - LIVE Case
10 Oct 2025 – From AICT-AsiaPCR 2025
A 78-year-old male with a history of LAD PCI in 1997 presented with an NSTEMI three months earlier due to diffuse three-vessel calcified disease, including: distal LM stenosis, severe mid and distal disease of a dominant RCA, and LAD in-stent restenosis. LV function was normal. He...
Innovative imaging and guidance techniques
10 Oct 2025 – From AICT-AsiaPCR 2025
This session delves into innovative imaging and guidance techniques essential for managing complex coronary interventions. It encompasses challenging scenarios such as spontaneous coronary artery dissection, imaging-guided PCI fine-tuning complications, ruptured sinuses, and complex PCI in elderly patients with severe left ventricular dysfunction. The session also addresses...
How to use DCB in coronary bifurcations
07 Jul 2025
Watch the replay of this webinar to learn more about the evidence supporting the use of DCB in the treatment of coronary bifurcations, and much more!
Two-stent techniques for non-left main true bifurcation lesions
22 May 2025 – From EuroPCR 2025
Enhance your skills in two-stent techniques for non-left main true bifurcation lesions. This session covers patient and lesion assessment, PCI procedural steps, and common pitfalls to avoid, aiming to improve procedural success in complex coronary anatomies.
What did we learn from my TAVI complications?
22 May 2025 – From EuroPCR 2025
Review critical lessons from TAVI complications, focusing on early identification and management of access site issues and acute coronary obstruction. Learn effective preventive actions and procedural strategies to minimize severe TAVI-related complications through detailed case discussions.
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...
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
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...
Stent technologies, last evidence in coronary interventions
21 May 2025 – From EuroPCR 2025
Update your knowledge on the latest stent technologies and clinical evidence in coronary interventions. This session reviews long-term outcomes of resorbable magnesium scaffolds, seven-year data from the COMPARE-ABSORB trial, bioadaptor versus stent comparisons, dual therapy sirolimus-eluting versus biolimus-eluting stents, and randomized trials on direct stenting versus...
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!
Optimising outcomes in treating multivessel disease - LIVE case
04 Oct 2024 – From AICT-AsiaPCR 2024
A 75-year-old male with hypertension, dyslipidemia and a lot of co-morbidities presented a positive echo stress test. The coronary angiography showed diffuse calcified disease on LAD, CX, OM1 and RCA. There is significant stenosis on ostial RCA, mid LAD, mid CX and OM1.
After physiology assessment...
Thrombus management in a STEMI patient with high clot burden
17 May 2024 – From EuroPCR 2024
Discover the optimal timing for thrombus extraction and explore effective strategies for managing large thrombi. Learn about the latest tools and techniques, as well as the role of pharmacotherapy in supporting successful thrombus removal.
Management of ACS patient with cardiogenic shock
16 May 2024 – From EuroPCR 2024
This session focuses on the management of acute coronary syndrome (ACS) patients with cardiogenic shock. It covers the differences between various mechanical support devices, discusses how to integrate RCT-derived data into clinical practice, and explores the best use of mechanical support devices. The session features case...
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...
DK Crush for distal LM bifurcation: pearls and pitfalls
26 May 2023
Watch the replay of the 3rd webinar of this series on bifurcation with G. Stankovic, T. Johnson and M. Lesiak. You will revisit optimal steps of DK Crush and much more.
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...
What to do with isolated non left main side branch stenosis?
17 May 2023 – From EuroPCR 2023
Encountered isolated non left main side branch stenosis? Unsure how to proceed? Join this session to discuss treatment dilemmas for symptomatic patients with positive stress tests. Explore risks to the main vessel and learn safe approaches. Don't miss out!
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...
The future of physiology- and morphology-guided PCI is optical!
17 May 2023 – From EuroPCR 2023
Join this session to explore the advantages of a fully optical approach in optimizing percutaneous coronary intervention (PCI) with the OptoWire III physiology wire and Nipro HF-OCT catheter. Through a practical case, you'll discover the significance of coronary physiology and intravascular imaging in bifurcation PCI and...
