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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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PCI in calcified left main stenosis: tools and techniques to warrant a safe and predictable outcome

19 May 2022 – From EuroPCR 2022

Consult this session to find out about the importance of intravascular imaging to guide left main PCI, to learn how to safely and effectively adopt advanced plaque modification tools and techniques, as well as to appraise the proper stent selection and tailored stenting technique to the target left main...

PCI in calcified left

Facing left main PCI in your daily practice: learn from challenging situations

19 May 2022 – From EuroPCR 2022

Get an insight on left main PCI by learning from challenging scenarios: left main perforation, left main bifurcation PCI, complex tandem bifurcation lesions and many more!

Facing left main PCI in your daily practice: learn from challenging situations

How should I treat ostial circumflex restenosis?

19 May 2022 – From EuroPCR 2022

Consider how to treat circumflex restenosis after a left main crossover stent and circumflex restenosis after left main PCI with 2 stents and try to learn from the two cases presented in this session: what are the ostial circumflex restenosis mechanisms, and the treatment options? What...

How should I treat ostial circumflex restenosis?

What's new in left main PCI - a closer look on the provisional vs. upfront two-stent strategy

19 May 2022 – From EuroPCR 2022

What's new in left main

What's new in multivessel disease - a closer look on intracoronary guidance

19 May 2022 – From EuroPCR 2022

What's new in multivessel

Treatment dilemma: how should I treat an isolated CX or LAD stenosis

19 May 2022 – From EuroPCR 2022

Treatment dilemma: how

Treatment dilemma - how should we treat patients with multivessel disease

19 May 2022 – From EuroPCR 2022

Treatment dilemma - how

How to select three-vessel disease patients eligible for PCI and guide the treatment by angiography-derived physiology

18 May 2022 – From EuroPCR 2022

What is angiographic SYNTAX score? Are 3VD all the same? What do ESC guidelines recommend? You will find answers to these questions, and many more, in this EuroPCR 2022 session, through which you will learn how to identify the right patient for three-vessel PCI, select the lesions to be...

How to select three-vessel disease patients eligible for PCI and guide the treatment by angiography-derived physiology

Left main bifurcations: latest clinical data applied to practical cases

18 May 2022 – From EUROPCR 2022

Why should the stenting strategy be adapted to side branch lesion length? How to use intracoronary imaging to improve outcomes? This session will address those questions and show you through a series of cases, examples of left main PCI from the European Bifurcation Club main trial...

Left main bifurcations:

How to use coronary CT imaging and physiology for multivessel disease

18 May 2022 – From EuroPCR 2022

How can imaging and physiology help treat this 77-year-old female patient, ex-smoker, with dyslipidemia, stable angina, and EF at 60 %, or this 67-year-old male patient with HTN, CCS class III, and LV EF at 61 %? The answers in this EuroPCR 2022 session.

How to use coronary CT imaging and physiology for multivessel disease