Nicolas Amabile
Latest contributions
Ambiguous left main lesions: how to assess severity and make the right decision
21 May 2026 – From EuroPCR 2026
Addressing the complexities of ambiguous left main coronary lesions, this session elucidates the integration of physiology, intracoronary imaging, and CT scanning for comprehensive assessment. It highlights multimodality diagnostic strategies and decision-making frameworks to guide appropriate revascularization.
From 3D coronary imaging to calcium modification: the future of PCI starts now
21 May 2026 – From EuroPCR 2026
The integration of advanced imaging and calcium modification techniques is reshaping percutaneous coronary intervention (PCI), offering new ways to plan and optimise complex procedures.
This EuroPCR 2026 session explores how 3D coronary imaging extends beyond conventional angiography to improve procedural planning and decision-making. It highlights the role...
The impact of calcified and resistant lesions in clinical outcome of PCI
21 May 2026 – From EuroPCR 2026
Delve into the clinical implications of calcified and resistant coronary lesions on percutaneous coronary intervention (PCI) outcomes. This session presents key registry data and study results on intravascular lithotripsy and plaque modification techniques, highlighting their impact on patient prognosis and stent performance.
Intracoronary imaging guidance in challenging PCI scenarios
20 May 2026 – From EuroPCR 2026
This session highlights the critical role of intracoronary imaging, particularly IVUS, in guiding complex percutaneous coronary interventions. It presents techniques such as IVUS-guided puncture of neo-ostia, stent implantation for ostial lesions, and innovative procedural methods like the Heart POTTER technique, underscoring the importance of precise imaging...
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.
Effective strategies for preventing and resolving complications of PCI in STEMI or left main patients: a case-based educational session
19 May 2026 – From EuroPCR 2026
This case-based educational session focuses on the prevention and resolution of PCI complications in STEMI and left main patients. It offers a cross-geographic perspective on prompt recognition, risk evaluation, and diverse management techniques to improve patient outcomes in high-risk PCI scenarios.
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...
Plaque modification in different lesions types: nodular, long lesions, tortuous lesions, bifurcations
28 Feb 2026 – From Euro4C Annual Meeting 2026
Explore advanced plaque modification strategies tailored to diverse lesion types such as nodular, long, tortuous lesions, and bifurcations. Delve into approaches for managing under-expanded stents and calcified nodules, supported by evidence including results from the French orbital atherectomy registry.
Imaging-guided intravascular lithotripsy for calcified lesions - LIVE case
27 Feb 2026 – From Euro4C Annual Meeting 2026
This live educational case from St. Francis Hospital and Heart Center demonstrates imaging-guided intravascular lithotripsy for calcified lesions. It covers lesion selection criteria, preparation and delivery of lithotripsy catheters, and reviews recent clinical evidence to guide best practices.
LIVE Educational Case from St. Francis Hospital & Heart...
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.
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...
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...
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...
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...
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!
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...
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.
Left main coronary interventions from basics to stenting techniques
15 May 2024 – From EuroPCR 2024
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 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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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!
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...
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.