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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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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

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

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

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

How should I treat isolated ostial left anterior descending or left circumflex stenosis?

17 May 2022 – From EuroPCR 2022

How do I accurately nail the ostium of LCx/LAD? How safe is LAD/Cx stent protrusion into LM? Should I touch a "healthy" LM? How do I deal with a large difference in vessel diameter? These are the tough questions asked during this session, and answered by...

How should I treat isolated ostial left anterior descending or left circumflex stenosis?

Nightmares in the cathlab

17 May 2022 – From EuroPCR 2022

Watch these videos to discover a selection of challenging cases and to learn how to face various complications, such as: iatrogenic left main dissection, coronary left main stent dislocation, rotational atherectomy induced perforation, and more!

Nightmares in the cathlab

Innovative devices for innovative procedures

17 May 2022 – From EuroPCR 2022

This session focuses on innovations to invent or improve therapeutic modalities in the cath lab based on unmet needs in PCI, LAAO, CHF interventions, intravascular imaging and therapeutics, TAVI, and peripheral vascular interventions.

Innovative devices for innovative procedures

Innovations in simulation-based training, procedural planning, monitoring and robotic PCI

17 May 2022 – From EuroPCR 2022

In this session, find out more about telemedicine, mixed reality technology in CTO proctoring, new-human grade simulator for ViV procedure planning, distance proctoring for transseptal TMVR, stent positioning assistance system, and robotic PCI.

Innovations in simulation-based training, procedural planning, monitoring and robotic PCI

Complex PCI with haemodynamic robotic support

17 May 2022 – From EuroPCR 2022

Consult this session on complex PCI with haemodynamic robotic support to discover a selection of challenging cases: PulseCath iVAC facilitation of complex PCI in young patient, rescue PCI of an intra-operatively injured anomalous coronary in a one-year-old, severe calcified LAD lesion supported by Impella and prepared with Diamond...

Complex PCI with haemodynamic robotic support

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