Nikolaos Mezilis
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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How to manage a stalled burr: tips and tricks
30 Jul 2025
A stalled rota burr is every operator’s nightmare — but being prepared can make all the difference. In this case, an 80-year-old patient with severe calcification in the proximal and mid LAD faces exactly that complication.
What’s your first step to safely retrieve the burr and complete...
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Fighting with calcium is always a struggle
12 Sep 2024
Managing calcified lesions is always a challenge, and while rotablation is the default technique, other methods must sometimes be considered, especially for eruptive calcified nodules, such as Shockwave, OPN balloon, or orbital atherectomy.
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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!
Rapid-fire - Challenging mitral procedures - Part 1
19 Nov 2023 – From PCR London Valves 2023
Discover challenging mitral procedures in this session: explore the innovative use of a Mini 4D TEE probe acting as a support tool for precise interventions on the mitral valve, delve into the pivotal role of image fusion technology in the context of valve replacement within transcatheter...
Primary PCI in challenging STEMI
17 May 2023 – From EuroPCR 2023
Get inspired by this collection of challenging cases experienced by your colleagues that offer insightful perspectives and practical information on primary PCI strategies for patients with ST-segment elevation myocardial infarction. Check out the different medical histories and see how it was managed!
A case of severe aortic stenosis and severe calcified ostial RCA disease
01 Jun 2022
Techniques to manage simultaneously severe calcified aortic stenosis and severe heavily calcified ostial RCA disease combining TAVI and ROTABLATION.
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Mechanical circulatory support devices to protect patients during high-risk PCI
Performing high-risk percutaneous coronary intervention (PCI) in complex patients requires the interventional cardiologist to use mechanical circulatory support devices to achieve safer outcomes. Which patients are most at risk of complex PCI? What are the best mechanical circulatory support devices currently available and which has the strongest...
High-risk PCI with mechanical circulatory support
21 May 2019 – From EuroPCR 2019
Consult this session to learn more about the management of high-risk PCI with mechanical circulatory support, thanks to a selection of interesting cases: rotablation to the rescue in a low ejection fraction patient, saving a single remaining vessel, and more!
Mechanical circulatory support for protected high-risk PCI: when and how?
21 May 2019 – From EuroPCR 2019
Consult this session on high-risk PCI to learn all about the risks and benefits of mechanical circulatory support, with various clinical cases demonstrating when and how to use it, and how to select the appropriate patient to undergo this procedure.
