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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...

It is a calcified left main: do it well, do it safely

ResilCard - A resilience assessment tool to ensure cardiovascular care continuity during crises

28 Feb 2026 – From Euro4C Annual Meeting 2026

Introducing ResilCard, a novel resilience assessment tool designed to maintain continuity of cardiovascular care during crises. This session highlights the importance of preparedness and adaptive strategies to ensure uninterrupted patient management in challenging healthcare environments.

ResilCard - A resilience assessment tool to ensure cardiovascular care continuity during crises

The best cases of the Euro4C PCRonline website

28 Feb 2026 – From Euro4C Annual Meeting 2026

This session presents some of the most instructive and challenging cases featured on the Euro4C PCRonline website. The cases encompass management of stalled rotational atherectomy burrs, combined use of intravascular lithotripsy and Impella in saphenous vein grafts, complexities of calcium in tortuous anatomy, and strategies for...

The best cases of the Euro4C PCRonline website

Closing Ceremony

28 Feb 2026 – From Euro4C Annual Meeting 2026

The closing ceremony marks the conclusion of the conference, providing a summary of key learnings, acknowledgments, and final reflections on the advancements and discussions presented throughout the event.

Euro4C Annual Meeting 2026 Closing Ceremony

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...

Imaging-guided intravascular lithotripsy for calcified lesions - LIVE case

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

Tailored transfemoral TAVI in complex anatomies - LIVE Case

11 Sep 2025 – From PCR Rio Valves 2025

Supported by an unrestricted educational grant from Medtronic

An 89-year-old male with hypertension, dyslipidemia, current smoking, stage III kidney disease, and a history of diagonal PCI in 2010 presented with severe symptomatic aortic stenosis and a small annulus (410 mm²), with RBBB on ECG.

Via bilateral femoral access,...

Tailored transfemoral TAVI in complex anatomies - LIVE Case

The role of mitral TEER in advanced heart failure

11 Sep 2025 – From PCR Rio Valves 2025

This session delves into the role of mitral transcatheter edge-to-edge repair (TEER) in advanced heart failure patients. Understand the indications for mitral TEER in severe left ventricular dysfunction, prognostic challenges in heart failure with severe mitral regurgitation, and review therapeutic alternatives including the pathway from TEER...

The role of mitral TEER in advanced heart failure

Innovations in aortic valves

11 Sep 2025 – From PCR Rio Valves 2025

Discover the latest innovations in aortic valve technology in this comprehensive session. Explore initial clinical experiences with new self-expandable valves in small annuli, mid-term durability data of novel prostheses, and cutting-edge developments such as silver nanoparticle-coated valves and vascular protection implantable systems, providing a forward-looking perspective...

TAVI and structural imaging

11 Sep 2025 – From PCR Rio Valves 2025

This session addresses the critical role of structural imaging in TAVI procedures. Gain valuable knowledge on multimodal imaging approaches in TAVI-in-TAVI cases, complex paravalvular leak management, and unique complications after surgical valve replacement. The session also includes case studies highlighting combined treatments and challenges in severe...

Aortic stenosis doesn't play alone: TAVI in multivalvular and coronary artery disease patients

11 Sep 2025 – From PCR Rio Valves 2025

Managing aortic stenosis becomes even more challenging when it coexists with coronary artery disease (CAD) or multivalvular pathology. For patients with CAD, careful assessment of symptoms, lesion severity, and anatomy guides whether PCI is best performed before, during, or after TAVI, always with future coronary access...

Aortic stenosis doesn't play alone: TAVI in multivalvular and coronary artery disease patients

Clinical puzzles in structural interventions

11 Sep 2025 – From PCR Rio Valves 2025

Delve into complex clinical puzzles encountered in structural heart interventions. This session presents comparative outcomes in paradoxical low flow versus high gradient severe aortic stenosis post-TAVI, explores manual and automatic CT measurement techniques, evaluates valve-in-valve procedures within mechanical valves through meta-analysis, and discusses TAVI strategies in...

TAVI cases: the unexpected and the unseen

11 Sep 2025 – From PCR Rio Valves 2025

Explore this session to uncover complex and unexpected challenges encountered during TAVI procedures. Cases include incidental findings such as aortic valve annulus pseudoaneurysm, double coronary artery perforation in severe aortic stenosis, and unique scenarios involving self-expanding valve implantation and transseptal access. Learn strategies for managing bioprosthesis...

Mitral TEER intraprocedural guidance

11 Sep 2025 – From PCR Rio Valves 2025

This session offers a detailed exploration of mitral TEER intraprocedural guidance through case-based learning. It highlights step-by-step techniques, including post-processing and key questions interventionalists face regarding residual regurgitation, clip insertion, and evaluating final procedural outcomes.

Minimalist approach to tricuspid valve therapy

11 Sep 2025 – From PCR Rio Valves 2025

This session highlights the minimalist approach to tricuspid valve therapy with TricValve implantation, a contrast-free, minimally invasive procedure guided by transthoracic echo and minimal fluoroscopy. Clinical evidence shows reduced hospitalisations, improved quality of life, and encouraging mid-term outcomes, including smaller right heart chamber dimensions and reduced...

Minimalist approach to tricuspid valve therapy

Innovation session: new techniques and devices in Latin America

11 Sep 2025 – From PCR Rio Valves 2025

Join this innovation-focused session highlighting new structural heart devices and techniques emerging from Latin America. Review real-world cases including mechanical valve re-intervention, TMVR, novel mitral TEER devices, and first clinical experiences with a new self-expandable transcatheter aortic valve in small annuli. Gain valuable procedural and clinical...

Innovation session: new techniques and devices in Latin America

Tricuspid and mitral: fine tuning diagnosis and results in transcatheter valve management

11 Sep 2025 – From PCR Rio Valves 2025

This session focuses on refining diagnosis and treatment outcomes in transcatheter management of tricuspid and mitral valves. Topics include assessment of pulmonary artery pressure changes post-MitraClip, 3D echocardiographic evaluation of tricuspid regurgitation severity, quantitative improvements in imaging, and insights from single-centre experiences. Additional discussions cover bicaval...

The complexity of transcatheter tricuspid valve interventions

11 Sep 2025 – From PCR Rio Valves 2025

Explore the complexities of transcatheter tricuspid valve interventions through a series of case studies tackling challenging clinical scenarios. Discover therapeutic options, including TEER in patients with pacemaker leads, imaging strategies with ICE, transcatheter tricuspid valve replacement using Evoque and LuxValve devices, as well as simpler approaches...

The complexity of transcatheter tricuspid valve interventions

Management of hostile access for TAVI

11 Sep 2025 – From PCR Rio Valves 2025

Access challenges are among the most critical hurdles in TAVI procedures. This session explores how to identify difficult access routes using pre-procedural CT, and demonstrates practical techniques to safely overcome these obstacles. Through real-life case presentations—including challenging femoral access with a shockwave balloon, carotid access, and...

Management of hostile access for TAVI
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