Left main and multivessel disease

Latest left main and multivessel disease content in interventional cardiology - research, practice, and education

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 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

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

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

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

When coronary devices failed

17 May 2022 – From EuroPCR 2022

Discover a selection of cases with coronary devices complications: delayed presentation of left main to LAD stent fracture, PCI in left main stenosis following redo surgical AVR, OCT to shed light on stent failure implanted at the ostium, and much more!

When coronary devices failed

How should I treat complex left main: trifurcation, in-stent restenosis

17 May 2022 – From EuroPCR 2022

Review the cases of a 65-year-old male patient with exertional angina, good LV, transferred to hospital for CABG after an angiogram with failed PCI attempt, and an 87-year-old female patient with HTN and previous heart failure with preserved LV function who presented with NSTEMI, and analyze...

How should I treat complex left main: trifurcation, in-stent restenosis