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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Challenging PCI in patients with complex coronary anatomy

17 May 2023 – From EuroPCR 2023

View complex cases including multivessel complex PCI using distal radial access in ACS and cardiogenic shock, complex SVG PCI, LM dissection in CHIP, and even more!

Challenging PCI in complex coronary anatomy

Difficult CHIP cases, different approach with different presentation

17 May 2023 – From EuroPCR 2023

Consult this session to explore strategies for managing procedure-related coronary perforation, mastering complex PCI in unplanned scenarios, and optimizing left main bifurcation stenting techniques. Gain valuable insights into the role of imaging in left main PCI, enhancing your diagnostic and interventional skills.

Difficult CHIP cases, different approach with different presentation

What is the role of intra-coronary physiology in guiding complete revascularisation?

17 May 2023 – From EuroPCR 2023

Nicola Ryan and Roberto Diletti discuss strategies for complete revascularisation in patients with acute coronary syndrome, and more specifically patients presenting with STEMI and multivessel disease.

What impact does physiology have on the completeness of revascularisation? Should complete revascularisation be guided by physiology? How does it improve performance? In...

What is the role of intra-coronary physiology in guiding complete revascularisation?

Pregnant women working in the cathlab

17 May 2023 – From EuroPCR 2023

Lynn Hinterbuchner welcomes Angeliki Kolyda, radiographer, in the PCR TV studio, in the heart of EuroPCR 2023, to talk about pregnancy in the cathlab. Should a woman really worry about working in a cathlab? If so, why? When exactly? How can she best protect herself?

Follow this...

Pregnant women working

Management of complex non-culprit multivessel disease after STEMI - LIVE case

16 May 2023 – From EuroPCR 2023

Analyze the case of a 69-year-old non-diabetic male patient with mild chronic kidney disease, acute inferior MI and primary PCI on the postero-lateral RCA, whose angiography showed diffuse disease on the proximal CX and second OM (QFR: 0.65), and an intermediate prox LAD lesion (QFR: 0.90).

IVUS...

Management of complex non-culprit MVD after STEMI - LIVE case

Distal left main stenosis with a trifurcation - LIVE case

16 May 2023 – From EuroPCR 2023

Watch the case of a 69-year-old male patient with atrial fibrillation, peripheral artery disease and severe pulmonary disease, referred for worsening angina. The angiography revealed a tight distal left main stenosis on a trifurcation.

In this case, the PCI is guided by IVUS with provisional stenting (LM-LAD) and protect...

Distal left main stenosis with a trifurcation - LIVE case

EuroPCR 2023 Hotlines/Late-Breaking clinical data: focus on left main and bifurcation PCI

16 May 2023 – From EuroPCR 2023

Listen to the presenters give you the latest information on left main and bifurcation from a series of late-breaking trials presented at EuroPCR 2023:

- The five-year follow-up of the EBC TWO 5-year follow-up study, which evaluated provisional versus culotte intervention for coronary bifurcations
- KISS: the benefit...

Hotlines on left main and bifurcation lesions

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:

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

Physiologic guidance and optimisation in multivessel disease

16 May 2023 – From EuroPCR 2023

Follow the case study of this 70-year-old ex-smoker male patient with HTN, dyslipidemia, previous primary PCI to proximal and mid LAD because of anterolateral STEMI, presenting with syncope, and find out, through the debates around his treatment, how to use physiology in 2023.

Physiologic guidance