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Bifurcation lesions

Find all the latest content on bifurcation lesions published on this website.

The percutaneous treatment of coronary bifurcation lesions is very dynamic with an ongoing evolution in clinical approaches and techniques and the management of more complex cases continuing to evolve. Keep up-to-date about all these changes along with the latest research and devices as well as advances in imaging, the use of adjunctive pharmacotherapy, vascular access or understanding bleeding risks. Use the filters below to access PCRonline resources.

Keep on Learning! Benefit from PCR’s wide choice of education continuum on bifurcation lesions: Courses, educative tools and much else besides.

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Bifurcation lesion

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Left main bifurcation treatment with Ultrathin Supraflex Cruz stent: from non-invasive angiography to invasive assessment of anatomy and physiology

16 May 2023 – From EuroPCR 2023

In this session, experience a multimodality approach, including CTA, angiography and OCT, and learn how to reestablish good hemodynamic of the bifurcation, by analyzing the case of an 81-year-old man with no risk factors, no relevant comorbidities, and no treatment, who presented with crescendo effort angina.

Left main bifurcation

Left main and bifurcations: latest clinical data applied to practical cases

16 May 2023 – From EuroPCR 2023

In this session, watch a case of intravascular imaging guided LM PCI from the ROLEX Registry, learn more about EBC MAIN 3-year results, see a case presentation with use of FFRangio, find out more about the KISS Trial, and follow the debates about all these learnings.

Left main and bifurcations:

Bifurcation PCI with provisional technique

15 May 2023 – From EAPCI-PCR Fellows course 2023

Consult these slides to learn how to assess bifurcation lesions, to get familiar with the steps of provisional approach and to understand causes and solutions for the most common pitfalls.

Bifurcation pci with provisional 

Calcified left main bifurcation PCI: how to evaluate and how best to treat - LIVE case

04 Mar 2023 – From AfricaPCR 2023

A 62-year-old male with hormonal treatment (metastatic prostate carcinoma) presents an exertion angina due to an MVD: severe calcified stenoses of distal left main (medina 1-1-1), mid LAD and prox CX.
Watch how the operators prepare LAD and CX lesions with Rotablator (Burrs: 1.25 + 1.75) then...

Calcified left main bifurcation PCI

How should I treat a patient with bifurcation coronary disease - A patient's journey

04 Mar 2023 – From AfricaPCR 2023

Consider the case of a 66-year-old male patient with no previous cardiac history, but HTN for 20 years, presenting after a successfully thrombolysed inferior STEMI within the 12 hours, no other immediately obvious risk factor for IHD, good baseline functional capacity and normal bio-profile, and compare...

How should I treat a patient with bifurcation coronary disease - A patient's journey

Bifurcation and CTO clinical cases

03 Mar 2023 – From AfricaPCR 2023

This session presents several challenging clinical cases including an in-stent restenosis in a bifurcation and retained wire, a left main thrombus, and an open CTO for retrograde approach of another CTO. Watch now to find out more!

Bifurcation and CTO clinical cases

The importance of IVUS in optimising PCI of the left main coronary artery

03 Mar 2023 – From AfricaPCR 2023

Watch the case of an 89-year-old active male patient with type II diabetes and pulmonary hypertension, awaiting hip replacement, who presented with recently worsening effort dyspnoea, and review his treatment management thanks to the recorded video while following the debate around such intervention.

The importance of IVUS in optimising PCI of the left main coronary artery

Coronary clinical cases - session 1

03 Mar 2023 – From AfricaPCR 2023

This AfricaPCR 2023 session will enable you to study several cases, including that of a 66-year-old male patient with atrial fibrillation, hypothyroidism, previous PCI of RCA, LM to LAD and OM, who was admitted for NSTEMI. Watch the video to find out more!

Coronary clinical cases - session 1

Complex left main PCI - Session with LIVE case

15 Dec 2022 – From GulfPCR-GIM 2022

Follow the discussion around the case presented LIVE in this GulfPCR-GIM 2022 session of a 68-year-old male patient with DM, HTN and hyperlipidaemia, who presented with constant exertional chest pain with class 3 angina for several weeks, and find out more about complex LM PCI.

Complex left main PCI

Left main multivessel disease and other coronary interventions

15 Dec 2022 – From GulfPCR-GIM 2022

This GulfPCR-GIM 2022 session will allow you to study a rare case of coronary artery dissection due to blunt chest trauma leading to myocardial infarction, the evolution from LAD to LMS stenting, the use of a mini-crush for a complex left main bifurcation, and much more!

Left main multivessel disease and other coronary interventions