Thomas Johnson
Latest contributions
All you need to know - Intracoronary imaging for vulnerable plaque
22 May 2026 – From EuroPCR 2026
This session provides a comprehensive overview of vulnerable plaque pathophysiology and the role of intracoronary imaging in its identification. It assesses treatment options, including the potential role of preventative PCI and intensive medical therapy, to guide clinical decision-making in managing plaque vulnerability.
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...
Assessing coronaries in ACS with intracoronary imaging
21 May 2026 – From EuroPCR 2026
This session highlights the critical role of intracoronary imaging in evaluating acute coronary syndromes (ACS). It discusses the management of complex lesion morphologies involving calcium and thrombus, the diagnostic power of OCT in decision-making, challenges beyond angiography in right coronary artery pathology, and the identification of...
Left main PCI treatment: how Ultreon 3.0 can improve decision making and achieve optimised outcomes
20 May 2026 – From EuroPCR 2026
This session explores how to optimise left main PCI through the integration of intracoronary imaging and physiology using Ultreon 3.0 software. It highlights how this innovative technology supports decision-making, procedural planning, and stent optimisation to improve outcomes in complex lesion management.
High definition IVUS-guided treatment strategies in calcified stenoses
20 May 2026 – From EuroPCR 2026
Severely calcified coronary stenoses remain one of the most challenging subsets in contemporary PCI, requiring precise lesion assessment and tailored treatment strategies.
This EuroPCR 2026 session focuses on how high-definition intravascular ultrasound (IVUS) is changing the way these lesions are approached in daily practice.
HD-IVUS enables detailed detection...
Back to the future - Lessons from the past that can guide contemporary practice
20 May 2026 – From EuroPCR 2026
Reflecting on historical perspectives in the management of atherosclerotic coronary vascular disease, this session imparts valuable lessons to guide contemporary PCI practice. It emphasizes best practices in vessel preparation, evaluates the significance of drug-eluting stents, and provides a pathologist’s insight into mechanisms of PCI failure to...
Calcified coronary: LIVE Educational Case from Clinique Pasteur - Toulouse, France
20 May 2026 – From EuroPCR 2026
This live educational case from Clinique Pasteur in Toulouse, France, showcases the management of complex calcified coronary lesions through multimodality imaging guidance. It addresses the selection of plaque modification devices and discusses optimal stenting strategies for challenging calcified bifurcation lesions, complemented by live procedural insights and...
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...
Beyond the trial: how will SELUTION DeNovo redefine our PCI practice?
10 Dec 2025 – From GulfPCR-GIM 2025
This session looks beyond trial data to examine how the SELUTION DeNovo study may reshape PCI practice in real-world settings.
The discussion reviews key clinical results from this large-scale DeNovo PCI trial and explains the technology behind the SELUTION SLR drug-eluting balloon, including its slow-flow drug delivery...
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
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...
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
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.
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 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...
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.
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,...
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.
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...
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...
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...
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...
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...
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...
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.
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...
