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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Ostial CX during crossover LM stenting: when and how to treat

05 Apr 2023

Watch the replay of the 2nd webinar on bifurcation. You’ll learn all about 'Ostial CX during crossover LM stenting'

Ostial CX during crossover LM stenting: when and how to treat

Outcomes of medical therapy plus PCI for multivessel or left main CAD ineligible for surgery

09 Mar 2023

The OPTIMUM study evaluates the outcomes in patients with complex CAD, including significant LM disease, its equivalent, or MVD CAD, undergoing percutaneous revascularization in addition to guideline directed medical therapy (GDMT) versus GDMT alone.

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag

Reviewer

Pooja M. Swamy
Outcomes of medical therapy plus PCI for MVD or LM CAD ineligible for surgery

Coronary clinical cases - session 3

04 Mar 2023 – From AfricaPCR 2023

Among the 6 presentations offered in this AfricaPCR 2023 session, find out more about a multivessel PCI and tight aortic stenosis, the case of a 6-year-old boy with HTN and dilated cardiomyopathy, a hybrid SVG calcium modification, and rare complications in a TAVI case.

Coronary clinical cases - session 3

How should I treat a patient with multivessel disease - A patient's journey

04 Mar 2023 – From AfricaPCR 2023

In this session, study the case of a 55-year-old female patient with DM and previous inferior STEMI, who presented with minimal exertion angina, 48% EF and mild MR, and follow her journey to understand how to optimally handle the specifics of patients with multivessel disease.

How should I treat a patient with multivessel disease - A patient's journey

Calcified left main bifurcation PCI: how to evaluate and how best to treat - LIVE case

04 Mar 2023 – From AfricaPCR 2023

A 62-year-old male with hormonal treatment (metastatic prostate carcinoma) presents an exertion angina due to an MVD: severe calcified stenoses of distal left main (medina 1-1-1), mid LAD and prox CX.
Watch how the operators prepare LAD and CX lesions with Rotablator (Burrs: 1.25 + 1.75) then...

Calcified left main bifurcation PCI

The importance of IVUS in optimising PCI of the left main coronary artery

03 Mar 2023 – From AfricaPCR 2023

Watch the case of an 89-year-old active male patient with type II diabetes and pulmonary hypertension, awaiting hip replacement, who presented with recently worsening effort dyspnoea, and review his treatment management thanks to the recorded video while following the debate around such intervention.

The importance of IVUS in optimising PCI of the left main coronary artery

BIOVASC: Immediate complete revascularization as safe and effective as staged procedure in treating multi-vessel disease

05 Mar 2023

Ali Nazmi Calik & Elad Asher summarize the results of the clinical trial presented by Roberto Diletti at the American College of Cardiology Scientific Session (ACC.23/WCC).

Elad Asher

Author

Elad Asher

Author

Ali Nazmi Calik
BIOVASC: Complete revascularization strategies in patients presenting with acute coronary syndromes and multivessel coronary disease

PCRonline @ ACC.23/WCC Scientific Sessions

23 Feb 2023

Live updates on a selection of major Late Breaking Clinical Trials of interest in interventional cardiology presented at the American College of Cardiology / World Heart Federation 2023 Scientific Sessions #ACC23 #WCCardio.

PCRonline @ ACC.23 Scientific Sessions

The effect of eliminating the hydrostatic pressure gradient during fractional flow reserve measurement

09 Feb 2023

Study the case of this 78-year-old male patient to understand why and how HPG may be important when measuring FFR in patients with CAD, as its height may influence the height of different FFR measurements, and, therefore, the patient management.

The effect of eliminating the hydrostatic pressure gradient during FFR measurement

1st stent in left main PCI: simple but not too simple

03 Jan 2023

Watch the replay of the 1st webinar on bifurcation with Goran Stankovic. You’ll learn all about '1st stent in left main PCI'

1st stent in left main PCI: simple but not too simple