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 ACS scenarios

14 Dec 2022 – From GulfPCR-GIM 2022

Topics in this GulfPCR-GIM 2022 session include the role of imaging in an unusual case of ACS in a young patient, PCI of an abnormal left coronary artery with AMI, embolisation of a thrombus in a non-culprit vessel during PCI in a late-presenting anterior STEMI, and...

Challenging ACS scenarios

A leaking left main or a leaking stent shaft !?

23 Nov 2022

Contrast staining during coronary angioplasty is an ominous sign, usually indicating deep artery wedging by the guide catheter, or vessel dissection / perforation. The author presents an unusual cause of LMCA staining during primary LAD PCI.

Sreevatsa Nadig

Author

Sreevatsa Nadig
A leaking left main or a leaking stent shaft !?

Intracoronary imaging and intracoronary physiology - Expert interview

In this video, Rasha Al-Lamee describes the best practices of imaging vs physiology. Find out more about the added value of both intracoronary imaging and physiology in multivessel and left main diseases, as well as clinical evidence to support the use of both techniques.

Intracoronary imaging and intracoronary physiology: friends or foes?

A patient with ACS – how should I treat the left main?

31 Oct 2022

Take a virtual trip to Chennai, India for this first PCR Webinar on the Road.

A patient with ACS – how should I treat the left main?

Left main stem percutaneous coronary intervention: does on-site surgical cover make a difference?

28 Oct 2022

The current analysis examines patient characteristics and outcomes following LM PCI performed in NSC in England and Wales.

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
Turki B Albacker

Reviewer

Turki B Albacker
Left main stem percutaneous coronary intervention: does on-site surgical cover make a difference?

A large, prospective, multicentre study of left main PCI using a latest-generation zotarolimus-eluting stent: the ROLEX study

24 Oct 2022

The purpose of the ROLEX Registry (Revascularization Of LEft main with resolute onyX) was to explore outcomes using a more contemporary drug eluting stent platform which is more suitable for LM PCI.

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
A large, prospective, multicentre study of left main PCI using a latest-generation zotarolimus-eluting stent: the ROLEX study

Porcelain aorta, calcified aortic valve, and calcified left main: what comes first, the valve or the artery?

08 Nov 2022

How would you treat this 76-year-old male patient with severe AS symptomatic for angina, sinus rhythm with RBBB, previous bilateral CEA, and total occlusion of both the left CCA and the subclavian?

Author

Flavio Luciano Ribichini
Petros Dardas

Author

Petros Dardas
Beatriz Vaquerizo

Author

Beatriz Vaquerizo
Porcelain aorta, calcified aortic valve, and calcified left main: what comes first, the valve or the artery?

DCB in variable day-to-day clinical scenarios

07 Oct 2022 – From AICT-AsiaPCR 2022

In this AICT AsiaPCR 2022 session 4 cases will be discussed that will enable you to learn more about drug-coated balloons and the variable indications for their use in daily practice, or techniques for using them in different lesion settings.

DCB in variable day-to-day clinical scenarios

Abstracts - Coronary interventions - Session 3

07 Oct 2022 – From AICT-AsiaPCR 2022

Clinical cases - Coronary interventions - Session 4

07 Oct 2022 – From AICT-AsiaPCR 2022