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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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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

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

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

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

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

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?