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Algorithm approach for severe calcified lesion, what is new?

27 Feb 2026 – From Euro4C Annual Meeting 2026

This session presents the latest algorithmic approaches for managing severe calcified lesions. Attendees will learn to recognize plaque morphologies using intravascular imaging, evaluate the capabilities of current imaging technologies, and understand updated guideline recommendations for optimal treatment strategies.

Algorithm approach for severe calcified lesion, what is new?

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...

DK Crush like you’ve never seen it before

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...

How to correct incomplete crush and how to prevent lack of carina coverage

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

Main vessel stenting in DK-Crush: lessons from stepwise provisional strategy

A novel approach to left atrial appendage occlusion (when Watchman/Amulet won’t fit!)

06 Apr 2022

See the case of a 76-year-old female patient with mitral valve repair 10 years prior found to have incomplete surgically ligated left atrial appendage, who was referred for closure.

Daniel Rothschild

Author

Daniel Rothschild
Steve Peterson

Author

Steve Peterson
Daniel S. Stewart

Author

Daniel S. Stewart
A novel approach to left atrial appendage occlusion (when Watchman/Amulet won’t fit!)

Interventional management of an aortic root fistula after aortic-valve endocarditis

25 Jan 2021

This is a 44-year old male patient with an aortic root fistula to the right heart after past infective aortic valve endocarditis. Interventional shunt occlusion was successfully performed using a transcatheter closure device.

Interventional aortic root fistula closure
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