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

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:

Invasive imaging and functional assessment

18 May 2022 – From EuroPCR 2022

Watch this session on invasive imaging and functional assessment to learn more about the role of intravascular imaging (OCT and IVUS) in guiding and optimizing complex PCI in calcified lesions.

Invasive imaging and functional assessment

Planning treatment strategies in multivessel disease

18 May 2022 – From EuroPCR 2022

Physiology and imaging are important tools to use in the cathlab: thanks to this seminar, learn how to use them at best, by analysing their impact on the case of a 66-year-old female patient with diabetes, hypertension, hyperlipidemia, left carotid surgery in 2008, admitted in April...

Planning treatment strategies in multivessel disease - Day #2 Seminar #2

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

Role of OCT in multivessel PCI

18 May 2022 – From EuroPCR 2022

How would you treat a 67-year-old male patient with dyslipidemia and family history of CAD, referred for coronary angiography because of severe, significant silent myocardial ischemia? Watch this LIVE case from Toulouse, France, to find out what your peers' choices are.

Role of OCT in multivessel PCI

Dealing with complex and high-risk interventions

18 May 2022 – From EuroPCR 2022

Thanks to these seven clinical cases, you will be able to learn how to manage risky and complex interventions, including a case of complex triple bifurcation lesions, a high-risk PCI case and a successful kissing balloon technique in transradial PCI.

Dealing with complex and high-risk interventions

A case of left main PCI?

17 May 2022 – From EuroPCR 2022

Discover the case of a 74 year-old male presenting with NSTEMI, with an history of lung CA with lobectomy and radiation therapy. The team decided to perform a PCI. How did the procedure go? What challenges did they face and how did they manage them? Watch...

A case of left main PCI?

Treatment of atherosclerotic vasospastic plaque in proximal left anterior descending and left main

17 May 2022 – From EuroPCR 2022

Discover the case of a 57 year-old male patient presenting with chest pain, ECG-ST segment depression in all precordial leads and elevated HS troponins. He already suffered from this event 2 years ago (treated conservatively). Angiogram reveals a vasospastic atherosclerotic plaque in proximal LAD and LM....

Treatment of atherosclerotic vasospastic plaque in proximal left anterior descending and left main