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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Calcified distal left main stenosis - LIVE case

18 May 2023 – From EuroPCR 2023

Watch the case of a 62-year-old non-diabetic male patient with history of stroke and peripheral artery disease, normal ECG and left ventricular function, referred for CT scan and angiography. He presented with calcified distal LM stenosis and calcified proximal LAD stenosis.

Provisional left main stenting was performed,...

Calcified distal left main stenosis - LIVE case

Intracoronary imaging in left main - Part 1

18 May 2023 – From EuroPCR 2023

Explore the world of intracoronary imaging in left main interventions in this session: discover a fascinating case report on overcoming left main stent pop-up, delve into the application of OCT-guided nano crush technique for left main bifurcation lesions, uncover the management of stent failure involving the...

Intracoronary imaging in left main - Part 1

Intracoronary imaging in left main - Part 2

18 May 2023 – From EuroPCR 2023

Delve into the intricacies of intracoronary imaging in left main interventions and explore the various scenarios encountered in this field: learn about the challenges and successes of left main bifurcation PCI using the DK crush technique, discover how multimodality imaging aids in guiding post-TAVR PCI procedures,...

Intracoronary imaging in left main - Part 2

What is the role of intra-coronary physiology and imaging to guide left main bifurcation PCI?

17 May 2023 – From EuroPCR 2023

As Alejandro Travieso explains, physiology and imaging are complementary to achieve good assessment of left main PCI. Dejan Milasinovic adds that different imaging tools can be used in different patients, so practitioners may choose between OCT and IVUS, depending on their main target of interest.

Find out the specifics...

What is the role of intra-coronary physiology and imaging to guide left main bifurcation PCI?

Rethinking PCI in left main: OCT-guided optimisation

17 May 2023 – From EuroPCR 2023

Discover the transformative role of optical coherence tomography (OCT) in optimizing left main percutaneous coronary intervention (PCI) in this session. Gain insights into how OCT can guide the step-by-step process of left main PCI to achieve optimal results, and explore the crucial parameters of procedural outcome,...

Rethinking PCI in left

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

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

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?

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Pregnant women working

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