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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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Advanced approaches to treating calcified lesions

22 Sep 2023 – From AICT-AsiaPCR 2023

Discover advanced insights into calcified lesions in this session, covering topics such as: managing double disasters, treating severe calcified left main disease, addressing complications in double vessel rotablation with left main bifurcation stenting, and using rotatripsy in OCT-guided PCI for calcified left anterior descending artery.

Advanced approaches to treating calcified lesions

Exploring advancements in drug-coated balloons (DCB)

22 Sep 2023 – From AICT-AsiaPCR 2023

Delve into the world of drug-coated balloons (DCB) with these presentations: from unexpected developments to unveiling the complications that often go unnoticed, learn why tortuosity matters in seemingly straightforward cases and explore the revolutionary procedure of metal-less PCI.

Exploring advancements in drug-coated balloons (DCB)

Complex CTO challenges

22 Sep 2023 – From AICT-AsiaPCR 2023

Gain valuable insights into overcoming CTO challenges in this session: learn how IVUS can come to the rescue in cases of main branch cut-off, discover successful recanalization techniques for right coronary artery CTOs using very long epicardial channels and explore the best approaches for managing complex...

Complex CTO challenges

Advanced techniques for managing calcified lesions

22 Sep 2023 – From AICT-AsiaPCR 2023

Discover advanced strategies for tackling complex calcified lesions in this session: from innovative approaches like the 'Orbital-shock' technique to managing calcified lesions in patients with previous CABG and in-stent restenosis, and exploring calcium modification strategies tailored to specific cases, these presentations offer valuable insights into simplifying...

Advanced techniques for managing calcified lesions

Left main interventions: cutting-edge insights

21 Sep 2023 – From AICT-AsiaPCR 2023

Join us in this session on left main interventions and explore the challenges and strategies for left main PCI in complex cases, from minimalist approaches in limited-resource settings to complex procedures like percutaneous transluminal coronary angioplasty with IVUS guidance.

Left main interventions: cutting-edge insights

Top cases of AICT-AsiaPCR 2023

21 Sep 2023 – From AICT-AsiaPCR 2023

Discover the most intriguing cases featured at AICT-AsiaPCR 2023 in this session: from adrenaline surges to complex primary PCIs gone haywire, from CHIP protected PCI in AMICS to complex CTO of an anomalous RCA, dive into these real-world cases and gain valuable insights that expand your...

Top cases of AICT-AsiaPCR 2023

Revolutionising coronary calcium treatment: unleashing the potential of intravascular lithotripsy

21 Sep 2023 – From AICT-AsiaPCR 2023

Over the last five years, we have learned that there is a new tool for treating calcium, the greatest enemy of interventional cardiology, which can take various forms: intravascular lithotripsy. In this session, look at how to master this technique in different scenarios, from eccentric calcified...

Revolutionising coronary

Complex left main scenarios

21 Sep 2023 – From AICT-AsiaPCR 2023

Discover unique insights into these challenging left main scenarios, including anomalous left coronary artery from the pulmonary artery (ALCAPA), guide extension catheter entrapment by a coronary stent, the utility of OCT guidance in complex left main trifurcation PCI, and a rare instance of a young patient with...

Complex left main scenarios

Challenges in calcified lesions

21 Sep 2023 – From AICT-AsiaPCR 2023

Explore a variety of challenging cases in this session, from the perplexing uncrossable STEMI to the specialized "Blocked" balloon anchoring technique, the unique challenges of calcified lesions in elderly patients to the debulking of a calcified nodule within the left circumflex ostium through the stent strut,...

Challenges in calcified lesions

Shock the rock with more IVL impulses, and get more gain!

20 Sep 2023

How would you treat this 81-year-old male patient with HTN, diabetes, dyslipidemia, peripheral vasculopathy, previous coronary angioplasty and prostatic adenocarcinoma, who was admitted for effort angina and positive stress test?

Author

Flavio Luciano Ribichini
Concetta Mammone

Author

Concetta Mammone
Mattia Lunardi

Author

Mattia Lunardi
Shock the rock with more IVL impulses, and get more gain!