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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Complex left main PCI - Session with LIVE case

15 Dec 2022 – From GulfPCR-GIM 2022

Follow the discussion around the case presented LIVE in this GulfPCR-GIM 2022 session of a 68-year-old male patient with DM, HTN and hyperlipidaemia, who presented with constant exertional chest pain with class 3 angina for several weeks, and find out more about complex LM PCI.

Complex left main PCI

CABG vs. PCI - Multivessel disease

15 Dec 2022 – From GulfPCR-GIM 2022

Watch this GulfPCR-GIM 2022 session to find out more about the guidelines in revascularisation for multivessel disease, simplification of multivessel disease PCI using physiological guidance, and much more!

CABG vs. PCI - Multivessel disease

Challenging and complication cases

15 Dec 2022 – From GulfPCR-GIM 2022

Watch this GulfPCR-GIM 2022 session to learn how to deal with post-infarction ventricular rupture, an unusual post-CABG complication, a left main complication with the LACOSTE technique, the entrapment of a knotted catheter in the radial artery during primary PCI, and much more!

Challenging and complication cases

Left main multivessel disease and other coronary interventions

15 Dec 2022 – From GulfPCR-GIM 2022

This GulfPCR-GIM 2022 session will allow you to study a rare case of coronary artery dissection due to blunt chest trauma leading to myocardial infarction, the evolution from LAD to LMS stenting, the use of a mini-crush for a complex left main bifurcation, and much more!

Left main multivessel disease and other coronary interventions

Left main and multivessel disease - Session 1

15 Dec 2022 – From GulfPCR-GIM 2022

Consult this session on left main and multivessel disease to discover a selection of cases presented during Gulf PCR 2022: multiple bifurcation lesions in an octogenarian and high-bleeding risk case, left anterior descending CTO complicated by left main thrombus with left main trifurcation stenting, and much more!

Left main and multivessel disease - Session 1

STEMI - Adjunctive pharmacotherapy

15 Dec 2022 – From GulfPCR-GIM 2022

This GulfPCR-GIM 2022 session will enable you to view a case of cardiogenic shock on anterior STEMI, as well as a complicated double-vessel intervention in inferior wall myocardial infarction with cardiogenic shock and acute LVF-PCI-RCA and LMCA-LAD, among others!

STEMI - Adjunctive pharmacotherapy

Left main and multivessel disease - Session 2

15 Dec 2022 – From GulfPCR-GIM 2022

View a sudden LM stem occlusion, a LM dissection during CTO, or even a rotablation in LM triple vessel disease in severe left ventricle dysfunction, and much more in this GulfPCR-GIM 2022 session.

Left main and multivessel disease - Session 2

Multivessel disease PCI: role of imaging and functional assessment - Session with LIVE case

14 Dec 2022 – From GulfPCR-GIM 2022

In this GulfPCR-GIM 2022 LIVE session, watch the case of this 49-year-old smoker, dyslipidemic male patient, who presented one month ago with acute inferior STEMI complicated by electrical instability, and whose angio showed significant LAD stenosis, and moderate to severe LCx stenosis, and discuss the role of imaging...

Multivessel disease PCI: role of imaging and functional assessment

Challenging and complication cases

14 Dec 2022 – From GulfPCR-GIM 2022

Among the 5 cases presented in this GulfPCR-GIM 2022 session, learn more about post aortic valve replacement complications, complex bicuspid TAVI, or primary PCI for re-implanted left main trunk post aortic root replacement, among others!

Challenging and complication cases

Stable CAD - Tools, devices and techniques

14 Dec 2022 – From GulfPCR-GIM 2022

In this GulfPCR-GIM 2022 session, 3 cases of stent loss are presented, as well as a remote robotic DK Crush in a 3D printed anatomy, and an onion-shaped stent layer in an in-stent restenosis patient.

Stable CAD - Tools, devices and techniques