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Left main and multivessel disease

Find all the latest content on left main and multivessel disease published on this website.

The left main coronary artery provides the primary source of blood flow to the left ventricle. Diseases affecting the left main, by itself or in combination with multivessel disease, place the patient at significant risk for life-threatening cardiovascular events. Treatment requires an understanding of all available tools, devices and techniques, like those employed in invasive imaging and functional assessment, as well as taking into account underlying comorbidities such as diabetes. Advances in imaging techniques, as well as the use of adjunctive pharmacotherapy, vascular access or invasive interventions such as bypass surgery, are important, as are understanding bleeding risks, all of which can be found here…

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Left main and multivessel disease

336 results

CULPRIT-SHOCK, EXCEL and DKCRUSH-V: TCT 2017 Late Breaking Trial Results

30 Oct 2017

Two potentially impactful clinical trials were in the limelight during day 2 of TCT 2017, as well as the quality of life analysis of a trial comparing revascularization strategies for left main disease. Let’s take a look at the results and see what their potential could be for daily practice.

PCR @ TCT 2017

We will be covering a selection of major Late-breaking Clinical Trials in Interventional Cardiology to be released at the 2017 Transcatheter Cardiovascular Therapeutics Scientific Sessions. Get the European Perspective!

Emergency left main PCI with ‘chimney technique’ to treat coronary artery occlusion after valve-in-valve TAVI

A 77 y/o gentleman with previous aortic valve replacement was referred to our unit to undergo valve-in-valve TAVI for symptomatic bioprosthesis degeneration. His surgical risk was deemed prohibitive due to an infiltrating bowel carcinoma awaiting for surgery…

Spontaneous haematoma, dissection: a broken heart bleeds tears

Consult this session on spontaneous haematoma, dissection: a broken heart bleeds tears from EuroPCR 2017 if you want to learn more about the following clinical cases:

- Let the nature heal: avoiding coronary implant in the young
- Spontaneous coronary artery dissection needs a hawk's eye all the times
- Multivessel primary PCI in STEMI complicated with cardiogenic shock in young woman two weeks post partum
- Spontaneous coronary artery dissection. Stent or not to stent? Two different approaches
- Spontaneous dissection of the left main at one week postpartum managed by PCI
- Extensive coronary dissection in STEMI: multimodality intravascular imaging guided-PCI in a large, tortuous right coronary artery
- Spontaneous dissection

Ticagrelor or clopidogrel in DAPT for acute coronary syndromes: A call for a stepwise approach?

LIVE case: complex LM PCI

From EUROPCR 2017

Consult the LIVE case on complex left main PCI, with the collaboration of the Sociedad Latinoamericana de Cardiologia Intervencionista (SOLACI), that includes a LIVE demonstration from Hospital Universitario Clínico San Carlos - Madrid, Spain.

A 54-year-old male with multivessel disease:

iFR assessmentSevere ostial LAD stenosisDynamic roadmap used
Dr. Javier Escaned

Operator

Javier Escaned

Operator

Antonio Fernandez-Ortiz

LIVE case: PCI in a patient with NSTEMI and multivessel disease

From EUROPCR 2017

Consult this LIVE case on PCI in a patient with NSTEMI and multivessel disease, that includes a LIVE demonstration from Hospital Universitario Clínico San Carlos - Madrid, Spain.

A 62-year-old male with multivessel disease:

iFR evaluation with co registrationDynamic roadmap support
Dr. Javier Escaned

Operator

Javier Escaned

Operator

Nieves Gonzalo

Operator

Nieves Gonzalo Lopez

LIVE case: OCT-guided PCI

From EUROPCR 2017

Consult this LIVE case on OCT-guided PCI, with LIVE demonstration from Swiss Cardiovascular Centre, Bern University Hospital - Bern, Switzerland.

A 65-year-male with unstable angina:

Mid RCA is done (culprit lesion)LAD/Diag 1 PCI with provisional techniqueOCT guidance

Operator

Aris Moschovitis
Lorenz Raber

Operator

Lorenz Räber

Operator

Kyohei Yamaji

LIVE case: a LAD bifurcation with mini crush technique

From EUROPCR 2017

Consult this LIVE case on a LAD bifurcation with mini crush technique with LIVE demonstration from Contilia Heart and Vascular Centre, Elisabeth Hospital - Essen, Germany.

Clinical case

A 76-year-old male with multivessel disease:

LAD/Diag 2 bifurcation PCIMini crush techniqueStent enhancement assessment
Dr. Christoph K. Naber

Operator

Christoph K. Naber
T Schmitz

Operator

Thomas Schmitz
Alexander Wolf

Operator

Alexander Wolf

Wrap-up interview - Successful left main PCI, what are the right tools and techniques?

From EUROPCR 2017

Why has this been called “the year” of Left Main interventions? A. Latib, O. Mendiz and Z. Ghazzal review the new maturity of an intervention which pioneer A. Grüntzig attempted years ago. Learn about the compelling data today from the EXCEL study showing non-inferiority of the endovascular approach and discover what is unique about the ongoing European Bifurcation Club’s EBC Main trial. Find out how these studies can impact on indications and eventual changes in future guidelines. From new devices – sizes and the choice of 1 or 2 stents – to experience and improved techniques, the critical elements of strategy and the choice of imaging for planning, optimisation and outcome: you’ll find the details here…