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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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

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

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

Crash TAVI-in-TAVI complicated by coronary obstruction

20 Apr 2022

Thanks to this Image in Interventional Cardiology, view an emergency TAVI-in-TAVI for cardiogenic shock secondary to acute valve degeneration complicated by left main stem obstruction treated successfully by chimney stenting.

Crash TAVI-in-TAVI complicated by coronary obstruction

Intracoronary imaging and intracoronary physiology: friends or foes?

14 Apr 2022

Watch the replay of this PCR Webinar on Left Main with N. Van Royen, J. Escaned and R. J. Van Geuns

Intracoronary imaging and intracoronary physiology: friends or foes?

COMPLETE: Effects of complete revascularization on angina-related quality of life in patients with ST-segment elevation myocardial infarction

22 Mar 2022

In this interview, Mirvat Alasnag asks Shamir R. Mehta about the results of a prespecified analysis of the COMPLETE study which he presented during the ACC 2022 Scientific sessions. 

Dr. Mirvat Alasnag

Author

Mirvat Alasnag
COMPLETE: effects of complete revascularization on angina-related quality of life in patients with ST-segment elevation myocardial infarction

How to manage a calcified LM bifurcation?

05 Apr 2022

Find out more about an 87-year-old male patient with PCI mid-LAD with BMS 9/1998, several risk factors, preserved LVEF and eGFR, symptomatic with unstable angina, and on medical therapy...

Konstantinos Bermpeis

Author

Konstantinos Bermpeis
Marta Belmonte

Author

Marta Belmonte
Prof. Emanuele BARBATO

Author

Emanuele Barbato
How to manage a calcified LM bifurcation?

Sex differences in outcomes after percutaneous coronary intervention or coronary artery bypass graft for left main disease: from the DELTA registries

07 Mar 2022

The DELTA registry data provides real-world observational evidence that confirms what was reported in randomized trials: a higher rate of co-morbidities in women and better intermediate-term outcomes with CABG. 

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
Sex differences in outcomes after percutaneous coronary intervention or coronary artery bypass graft for left main disease: from the DELTA registries