Thomas Johnson
Latest contributions
Intracoronary imaging guidance for PCI
22 May 2025 – From EuroPCR 2025
This session highlights the value of intracoronary imaging guidance for PCI, showcasing optical coherence tomography in complex ACS lesions, long-term outcomes from imaging-guided PCI trials, AI-enhanced quantification, and comparative analyses of intravascular lithotripsy versus rotational atherectomy.
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...
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...
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...
Role of imaging in ACS: from non-invasive to invasive investigations
20 May 2025 – From EuroPCR 2025
Explore the critical role of imaging in acute coronary syndrome (ACS) from non-invasive coronary CT angiography to invasive intracoronary imaging modalities. This session covers detection of culprit lesions, diagnostic strategies, and PCI optimization through real-world case examples.
Complex calcified lesions: combination of intravascular imaging and orbital atherectomy for optimal outcomes
20 May 2025 – From EuroPCR 2025
In this EuroPCR 2025 session on complex calcified coronary lesions, follow a step-by-step analysis of a recorded case structured in three key phases: lesion assessment with OCT, PCI using orbital atherectomy, and post-PCI optimisation with follow-up OCT imaging. Gain valuable insights into managing severely calcified lesions,...
When complications storm through the cathlab #2
19 Dec 2024 – From GulfPCR-GIM 2024
Brace yourself as we delve into a captivating session showcasing a series of complex and challenging complications that can arise in the catheterization laboratory. From a coiling gone awry to a stuck burr in an elderly patient, this session offers invaluable insights and strategies for navigating...
Undilatable calcified lesion - LIVE case
19 Dec 2024 – From GulfPCR-GIM 2024
A 52-year-old male presenting with angina (CCS II) and normal LV function. Angiography revealed a long, severely calcified lesion in the proximal and mid-LAD, which was undilatable during a previous PCI.
The lesion was prepared using Rotablator (1.5 Burr), cutting balloon, Shockwave, and NC balloon, guided by...
How to deal with PCI complications
18 Dec 2024 – From GulfPCR-GIM 2024
Interventional cardiology is not without its challenges. This session delves into the management of complex PCI complications, equipping you with the knowledge and techniques to prevent, recognize, and effectively handle life-threatening situations. From the dreaded 'no-flow' scenario to the most intricate perforations and massive thrombus burdens,...
Complications and challenging cases #1 in interventional cardiology
18 Dec 2024 – From GulfPCR-GIM 2024
This session delves into a range of complex and challenging cases in interventional cardiology. Explore a coronary balloon fracture compromising the vascularization of the forearm after a radial approach PCI, as well as strategies for surviving the storm during challenging procedures. Discover an emergency transcutaneous balloon...
Vulnerable plaque identification and treatment
16 May 2024 – From EuroPCR 2024
This session focuses on the role of non-invasive and intra-coronary imaging in the identification and management of vulnerable plaque. Participants will explore the use of CCTA and intracoronary imaging techniques, such as IVUS, to diagnose vulnerable atherosclerosis. The session also evaluates the evidence supporting conservative or...
Cracking open the discussion on the clinical experience with intravascular lithotripsy in acute coronary syndromes
16 May 2024 – From EuroPCR 2024
Explore this session to uncover the common association between calcium and acute coronary syndrome, and how intravascular lithotripsy (IVL) offers a safe solution for calcified lesions, with comparable procedural success rates. However, note that ACS cases involving calcium may lead to higher major adverse cardiac events...
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...
Go beyond metal: exploring drug-eluting balloon technology in de-novo coronary lesions
15 May 2024 – From EuroPCR 2024
Through the study of two cases, this session examines the need for stenting bifurcation lesions and the role of DEB technology in avoiding stent-related complications in long diffuse disease. It emphasizes the benefits of SELUTION SLR balloons for de novo lesions, discussing how sustained limus release...
How to approach isolated ostial left circumflex artery lesion?
15 May 2024 – From EuroPCR 2024
Thanks to this session, explore the role of imaging and physiology in assessing ostial circumflex lesions, examine treatment options for the ostial left circumflex artery, and discuss optimization strategies to enhance long-term outcomes.
Stenting techniques in bifurcation lesions
15 May 2024 – From EuroPCR 2024
Thanks to this EuroPCR 2024 session, explore temporal trends in left main bifurcation PCI, study geometric variations in coronary arteries at bifurcations, and decode Medina 0-0-1 bifurcations. Learn to compare mini-crush and TAP stenting techniques, analyze cardiovascular outcomes, and evaluate the POKI technique versus kissing balloon...
Left main and complex bifurcation stenting
14 May 2024 – From EuroPCR 2024
Watch this session focused on a patient with distal left main stenosis to understand that the stepwise provisional side branch (SB) stenting strategy is the standard approach for most left main trifurcation lesions. Discover the importance of optical frequency domain imaging for strategy determination and bifurcation...
Tailoring PCI: from full metal jacket to waistcoat
12 Feb 2024
A 38-year-old man with class III angina was referred for coronary angiography following a positive myocardial perfusion scan. The angiogram showed functionally occluded PDA as well as significant disease in the proximal, mid, and distal RCA. After wiring and predilating PDA, TIMI-III flow in PDA was...
Author
Author
DCB PCI in clinical practice: negotiating the learning curve
24 Oct 2023
Watch the replay of this webinar with T. Johnson, G.G. Toth and T. Rissanen to consider the practical steps essential in vessel preparation and much more!
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...
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...
Third generation OCT (HF-OCT): no more limits to the routine clinical use of intravascular imaging
17 May 2023 – From EuroPCR 2023
Imaging is critical to strategy management. If you want to get a sense of the contributions of HF-OCT in clinical routine, listen to the speakers talk about their real-world experience and learn from their case presentations.
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...
Management of a high bleeding risk (HBR) patient with a bifurcation lesion
05 Dec 2019
Discover the replay of this webinar on high bleeding risk and complex PCI, with B. Chevalier, T. Lefèvre and T. Johnson.
How should I optimise treatment of LM disease using intracoronary guidance?
11 Feb 2021
PCR Webinar with G. Stankovic, J. Escaned and T. Johnson
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.
Our patient with a highly calcified vessel
20 May 2022 – From EuroPCR 2022
This session deals with an 81-year-old female patient with hypertension, dyslipidemia, diabetes mellitus, previous PCI on LAD and LCx, and chronic coronary syndrome on max medical therapy: discuss this case while considering imaging guidance for calcified plaque and viewing step-by-step Rotablator, among others.
Our patient with a bifurcation lesion
19 May 2022 – From EuroPCR 2022
Watch this session to improve your skills in adapting bifurcation stenting strategy to the underlying anatomy, in performing the stepwise layered provisional strategy for the majority of bifurcations, and in understanding when to treat a bifurcation with two stents.
