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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. Use the filters below to access PCRonline resources.

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Left main and multivessel disease

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An image is worth a 1,000 words

15 May 2024 – From EuroPCR 2024

An image is worth a 1,000 words

Upper limb subcalvian artery

15 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the upper limb subclavian artery. Attendees will have the opportunity to explore various challenging cases, including complex double bifurcation trouble, successful management of a subclavian arterial aneurysm, saddle thrombus at the vertebro-subclavian junction, and more....

Upper limb subcalvian artery

How to approach isolated ostial left circumflex artery lesion?

15 May 2024 – From EuroPCR 2024

Thanks to this session, explore the role of imaging and physiology in assessing ostial circumflex lesions, examine treatment options for the ostial left circumflex artery, and discuss optimization strategies to enhance long-term outcomes.

How to approach isolated ostial left circumflex artery lesion?

Has the 2023 ESC-EACTS guideline review on left main changed my practice?

15 May 2024 – From EuroPCR 2024

Watch this session if you wish to learn why the 2019 guidelines were revised, how to apply the updated recommendations in clinical settings through case examples, and the criteria for selecting patients with left main stenosis for PCI versus CABG.
The session includes detailed presentations on...

Has the 2023 ESC-EACTS guideline review on left main changed my practice

When imaging guides PCI complications management

15 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 Clinical Case submissions highlighting the role of imaging in managing complications during percutaneous coronary interventions (PCI). Experts will present and discuss cases involving recurrent acute myocardial infarction, stent crumpling, and other unexpected complications, demonstrating how the use of various imaging...

When imaging guides PCI complications management

Make your life easier with imaging during primary PCI for acute coronary syndrome

15 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 Clinical Case submissions highlighting the use of imaging modalities, such as optical coherence tomography (OCT) and intravascular ultrasound (IVUS), during primary percutaneous coronary interventions (PCI) for acute coronary syndrome. Experts will present and discuss challenging cases, demonstrating how the integration...

Make your life easier with imaging during primary PCI for acute coronary syndrome

Hemodynamic support during CTO PCI: to use it or not?

15 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 Clinical Case submissions focused on the use of hemodynamic support devices during percutaneous coronary interventions (PCI) for chronic total occlusions (CTO). Experts will present and discuss challenging cases where the use of devices like the Impella pump or pulsatile left...

Hemodynamic support during CTO PCI: to use it or not?

Complex scenarios beyond complex interventions, time to take multiple factors into account

15 May 2024 – From EuroPCR 2024

Complex scenarios beyond complex interventions, time to take multiple factors into account

Left main bifurcation techniques - Part 1

14 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 Clinical Case submissions showcasing various techniques for managing complex left main bifurcation lesions. It includes presentations and discussions on the use of a home-made dual lumen microcatheter, angulated catheters for side branches, a novel "crushing" approach for narrow-angle bifurcations, challenging...

Left main bifurcation techniques - Part 1

Challenging situations and complications in patients with ACS and acute heart failure undergoing PCI

14 May 2024 – From EuroPCR 2024

This session, with the collaboration of various national societies, focuses on understanding different approaches and techniques for managing challenging situations and complications in patients with ACS and acute heart failure undergoing PCI. It covers the prompt recognition of potential periprocedural complications, various management strategies for PCI...

Challenging situations and complications in patients with ACS and acute heart failure undergoing PCI