Two-center case series in JACC: Advances on LithiX HC-IVL in severely calcified coronary lesions.

The case series focused on 16 patients with severely calcified de novo coronary lesions. In more than 60 percent, circumferential calcium exceeded 180 degrees, a particularly challenging starting point for stent implantation.[1] Before and after lesion preparation, OCT imaging documented visible calcium fractures and favorable stent expansion, indicative of effective acute calcium modification.[1]

The result: a 93.8 percent technical success rate, 100 percent procedural success, and no major complications.[1]

This case series is a strong example of how LithiX HC-IVL performs in everyday practice, even in technically demanding calcified lesions.

Benjamin Rieck, Managing Director Angiopro

LithiX HC-IVL fractures calcium with precision, without damaging the surrounding soft tissue, and without the need for an external energy source. This gentle approach to calcium modification lowers the risk of dissection and perforation and lays the groundwork for optimal stent expansion, even in the kind of severe calcification described in this case series.

Discover What’s New in 3mensio 10.9

Structural heart procedures continue to evolve – with increasing case complexity, redo interventions, and expanding device options. 3mensio 10.9 introduces new planning capabilities, enhanced automation, and an improved user experience to support faster, more precise procedural planning.

What’s New

New Features

• Multiple placement strategies for the second TAV, supporting more precise valve-in-valve planning for redo TAVI and TAV-in-SAV cases.
• Calcium visualization in the angio-view: get a clearer read of calcification burden directly where you need it.
• 3D neo-LVOT geometry: the (neo-)LVOT is now available as a 3D geometry within the volume rendering and angio-view, giving a more intuitive understanding of obstruction risk.

Automation

• Annulus detection for surgical rings: suggested annulus detection, previously available for native mitral valves, now extends to surgical rings.
• Suggested chamber measurements: atrial and ventricular dimensions are proposed automatically in the mitral and tricuspid module.
• Suggested index valve measurements: selecting a suggested measurement location automatically places a polygon trace, ready to adjust and confirm.
• Automated septum: the septum plane and contour are drawn automatically, fully adjustable, with manual definition still available.

Save Custom Valves

• Custom virtual valves, including preferred device offset, can now be saved once and reused for future cases, available directly in the dropdown under the name you choose.

Smarter User Experience

• Hide vessels and measurements: show or hide all at once, or manage them individually, without losing any data.
• Adjustable min/max rule: now configurable in the peripheral workflows, including femoral, carotid, subclavian, and IVC/SVC.
• Clean screenshots: hide all embedded pictures at once directly from the screenshot popup.
• Personalized information display: the Select Info menu now allows individual measurements to be shown or hidden via checkboxes.

Explore the new features in each workflow – download the flyer:

Recognizing the long-standing distribution of the software solutions 3mensio and CAAS.

Speyer, July 23, 2026. Pie Medical Imaging has honored Angiopro with the Lifetime Achievement Award, in recognition of the long-standing distribution of the software solutions 3mensio and CAAS.

For Angiopro, this partnership represents more than a long-standing business relationship. It has made it possible to establish 3mensio and CAAS as lasting parts of clinical practice and, together with Pie Medical Imaging, to bring their clinical value to an increasing number of hospitals. The foundation for this was laid many years ago by Hanns-Joachim Rieck, Founder and Chairman of Angiopro, and Julian Rieck, whose early commitment made this collaboration possible in the first place.

This award is a clear sign of trust for us. It shows that a partnership built on mutual reliability lasts over the long term and extends far beyond individual projects.

Benjamin Rieck, Managing Director Angiopro

The Lifetime Achievement Award was also presented at the international distributor meeting in Amsterdam, accepted on behalf of Angiopro by the Health IT Team, including Anne Ackermann, Ann-Sophie Maurer, Vivien Brill, and Julian Simon, who were recently also honored there with a Revenue Award for their sales performance in the area of 3mensio and CAAS. For the team, this also reflects their own role within a partnership that began long before them.

Our long-standing partnership with Pie Medical Imaging means that our hospitals can rely on 3mensio and CAAS just as much as on the support behind them. Our Health IT Team stands for that every day.

Jan Müller-Nielsen, CCO Angiopro

The close relationship between Angiopro and Pie Medical Imaging therefore remains key to ensuring that 3mensio and CAAS deliver their value in as many hospitals as possible.

The Health IT Team accepted the award in person at Pie Medical Imaging’s international distributor meeting in Amsterdam.

With a Revenue Award, Pie Medical Imaging recognizes the sales performance of Angiopro’s Health IT Team in the area of the software solutions 3mensio and CAAS. The award also reflects the long-standing relationship between both companies.

This award is a clear confirmation of the excellent work our Health IT Team delivers in the market. It highlights the team’s commitment, expertise, and daily dedication to creating innovative solutions for our customers.

Jan Müller-Nielsen, CCO Angiopro

Angiopro’s Health IT Team, including Anne Ackermann, Ann-Sophie Maurer, Vivien Brill, and Julian Simon, supports customers from onboarding through daily use of 3mensio and CAAS, combining clinical expertise with a precise understanding of market requirements.

This achievement reflects the value of our long-standing partnership with Pie Medical Imaging. Mutual trust and a shared clinical understanding form the foundation for delivering lasting value to our customers.

Benjamin Rieck, Managing Director Angiopro