
Nicolas Amabile
Latest contributions
Remove the shaft technique: tips and tricks
30 Jul 2025
When a rota burr stalls in a calcified artery, quick thinking and the right technique are critical. Discover a proven method to recover the burr safely and avoid surgery.

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Through decisions in complex left main PCI - Left main restenosis
23 May 2025 – From EuroPCR 2025
Gain comprehensive understanding of left main restenosis mechanisms, diagnostic evaluation, and treatment options. This session includes case presentations with angiographic and intracoronary imaging assessments, explores the role of imaging in management decisions, and reviews therapeutic strategies including repeat stenting, drug-eluting balloons, and coronary artery bypass grafting.

Navigating complexity in high-risk patients with multivessel disease undergoing PCI
23 May 2025 – From EuroPCR 2025
This educational session focuses on navigating the complexities of PCI in high-risk patients with multivessel disease. Learn the roles of imaging and physiology, low-contrast PCI techniques, and optimal strategies for patients with concomitant aortic stenosis, illustrated through detailed case discussions.

Calcium and complications management in bifurcation
22 May 2025 – From EuroPCR 2025
Address calcium-related challenges and complication management in coronary bifurcation PCI. This session reviews the impact of intraprocedural complications during two-stent techniques, procedural success and one-year outcomes of intravascular lithotripsy in calcific bifurcations and unprotected left main PCI, and bench-test analyses of perforation management. Additionally, it compares...

Beyond angiography: imaging-guided solutions for stent failure
22 May 2025 – From EuroPCR 2025
Stent failure remains a critical challenge in interventional cardiology — but intracoronary imaging can change the outcome. This session goes beyond angiography to examine why stents fail, how to detect underlying causes, and how imaging-guided strategies can help tailor reintervention. Two real-life cases, from complex restenosis...

Integration of CT and IVUS for treatment of coronary artery disease in daily practice: from planning to drug-eluting therapy
22 May 2025 – From EuroPCR 2025
This EuroPCR 2025 session highlights how imaging can drive precision in modern PCI. From CT-guided planning to IVUS-guided drug-eluting balloon interventions, each presentation offers practical insights into optimising patient outcomes. Step-by-step approaches and recorded cases illustrate how to tailor tool and technique selection, while also addressing...

Calcified coronaries: novel devices and techniques
22 May 2025 – From EuroPCR 2025
Gain expert insights into managing calcified coronary lesions with novel devices and techniques. Topics include the safety and efficacy of rotational atherectomy, the distal rail-tracking technique, impact of burr speed and duration, innovative scoring balloon designs, and the RODIN-CUT sequential cutting balloon angioplasty method for moderate-to-severe...

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...

Featured research - Aortic valve (Part 2)
24 Nov 2024 – From PCR London Valves 2024
This second part of the featured research session on aortic valve interventions delves into a wide range of topics, including vascular complications, valve-in-valve TAVI, coronary protection strategies, predictors of mortality, and innovative techniques. Discover the latest advancements and insights from cutting-edge research.

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!

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.

First results of randomised trials on advanced plaque modification techniques and intracoronary imaging
16 May 2024 – From EuroPCR 2024
This session presents the first results of randomized trials investigating the use of advanced plaque modification techniques, such as rotational atherectomy, lithotripsy, and laser atherectomy, as well as the role of intracoronary imaging (OCT and IVUS) in guiding percutaneous coronary intervention (PCI). The session aims to...

The future of interventional cardiology imaging
15 May 2024 – From EuroPCR 2024
Explore this session to discover the latest innovations in interventional cardiology images, including the benefits of artificial intelligence and angio-CT in PCI/SHD procedures. Learn about Alphenix Evolve and the initial experiences with AI imaging in daily cathlab practice, alongside intraprocedural angio-CT guided LAAO, and engage in...

Left main coronary interventions from basics to stenting techniques
15 May 2024 – From EuroPCR 2024

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.

When it’s (really) tight
23 Jun 2023
A 71-year-old woman was referred for coronary angiography. She underwent SAVR for AS related to bicuspidia 6 months before, and subsequently suffered from angina and increasing dyspnea 4 months after the intervention...
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Stent failure management - Contemporary management options - Part 2
18 May 2023 – From EuroPCR 2023
In this session, explore the evolving causes of restenosis in contemporary practice and understand how to tailor in-stent restenosis treatment based on its underlying mechanism. Discover why imaging is crucial for selecting the appropriate treatment in cases of in-stent restenosis, and learn that drug-coated balloons are...

Meaningful innovations in interventional cardiology
18 May 2023 – From EuroPCR 2023
In this session, watch the case of a 56-year-old man with HTN, DM, stable CAD, PFO and previous ischaemic stroke, who presented with severely calcified CTO lesion on proximal LAD and significant mid-RCA lesion, and find out how he was treated LIVE... among others!

How to approach isolated ostial left circumflex
18 May 2023 – From EuroPCR 2023
This session examines the optimal treatment options for isolated ostial left circumflex lesions, considering both technical and physiological/imaging approaches. However, one question arises: does the concept of an "isolated ostial circumflex lesion" truly exist? Join the speakers to uncover the answer and gain valuable information into...

Rethinking PCI in left main: OCT-guided optimisation
17 May 2023 – From EuroPCR 2023
Discover the transformative role of optical coherence tomography (OCT) in optimizing left main percutaneous coronary intervention (PCI) in this session. Gain insights into how OCT can guide the step-by-step process of left main PCI to achieve optimal results, and explore the crucial parameters of procedural outcome,...

Stent failure and intravascular imaging: shedding the light to improve outcomes
20 May 2022 – From EuroPCR 2022
Understand how to use intravascular imaging to analyse the reasons for stent failure (restenosis and/or thrombosis) by viewing these 2 cases shared by your peers: 1 focusing on OCT & the other on IVUS.

How should I treat ostial circumflex restenosis?
19 May 2022 – From EuroPCR 2022
Consider how to treat circumflex restenosis after a left main crossover stent and circumflex restenosis after left main PCI with 2 stents and try to learn from the two cases presented in this session: what are the ostial circumflex restenosis mechanisms, and the treatment options? What...

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...

IVUS and OCT: when, how, why?
18 May 2022 – From EuroPCR 2022

Conquer calcium with intravascular lithotripsy (IVL): cases and clinical data
18 May 2022 – From EuroPCR 2022
This EuroPCR 2022 session mainly focuses on the DISRUPT CAD studies: hear discussion on the latest DISRUPT CAD clinical evidence supporting the use of IVL across different calcium morphologies, appraise the most recent one-year OCT-pooled analysis of the DISRUPT CAD III and IV studies, and learn about the differences...

Clinical applications of IVUS, OCT and other intracoronary imaging techniques: practical simulation-based learning (Part 2)
19 May 2021 – From EuroPCR 2021
Often, angiography is not enough, and imaging can be very useful. In this session, originally presented during EuroPCR 2021, our experts use clinical cases to demonstrate that in all circumstances (ostial LAD, stent failure, bifurcation, calcified lesion, ACS...), imaging is quite simple to analyze and particularly...

Clinical applications of IVUS, OCT and other intracoronary imaging techniques: practical simulation-based learning (Part 1)
19 May 2021 – From EuroPCR 2021
The aim of this session, originally presented during EuroPCR 2021, is to demonstrate how intra-coronary imaging can improve outcomes, to help understand appropriate indications for its use, and to provide practical tips & tricks on how to integrate intra-coronary imaging into daily clinical practice through a...

Atrial septal closure and complications
View this session if you wish to discuss percutaneous closure when treating fenestrated ASD, find out more about ASD with anomalous systemic venous drainage with unusual vascular access closure, deepen your mastery of the ASD closure balloon-assisted technique, and discover the "Twin shot" rescue procedure.

Calcified lesions
05 Jul 2019 – From AICT-AsiaPCR 2019
Watch this LIVE demonstration from National University Heart Centre (Singapore) to discover how they managed the case of a 69 years-old male with diabetes, hypertension and hyperlipidemia suffering from a calcified triple vessel disease.

Management of coronary aneurysms - Part 2
23 May 2019 – From EuroPCR 2019
Consult this session to learn more about how to efficiently manage coronary aneurysms, with compelling clinical cases involving two thrombosed coronary aneurysms, a proximal left anterior descending coronary aneurysm after BMS implantation, and more!
