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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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IVUS-guided left main / left main bifurcation with Megatron

09 Oct 2021 – From AICT-AsiaPCR 2021

How to optimise outcome when treating complex lesions like left main? Watch this session to find out more about the new tools that can help! You will also learn how to overcome the complexities of left main / left main bifurcations with new technologies, and you will be proposed a...

IVUS-guided left main

Tips and tricks to tackle complex bifurcation lesions (left main and non left main)

09 Oct 2021 – From AICT-AsiaPCR 2021

This session will be of great value to you if you are looking for effective ways to best manage complex bifurcation lesions! More specifically, watch it if you wish to rapidly develop a patient-specific understanding of bifurcation lesions and treatment optimisation with physiology and IVUS co-registration, to...

Tips and tricks to tackle

Left main bifurcation with DK crush technique

09 Oct 2021 – From AICT-AsiaPCR 2021

Don't miss this session from AICT-AsiaPCR 2021 if you wish to understand how imaging can help in strategising the PCI procedure in a calcified vessel, or to be familiar with how to perform bifurcation PCI of left main and LAD/D1 with two-stent technique, among others!

Left main bifurcation

Complications: calcified LM-LAD PCI, CHIP and TAVI

08 Oct 2021 – From AICT-AsiaPCR 2021

Watch this session on complications to see 3 clinical cases: "calcified LM-LAD PCI with rotablator", "cascading events in a CHIP case" and "complications in TAVI", and discover how they managed to face them. 

Complications: calcified

Cases on left main

08 Oct 2021 – From AICT-AsiaPCR 2021

Watch this session to discover a selection of interesting cases on left main, such as PCI on unprotected left main coronary artery quadfurcation, ostial left main compression in Eisenmenger's syndrome, TAP bifurcation technique for LMCA bifurcation stenosis in ACS, and more!

Cases on left main

CT-guided Robotic-assisted revascularisation in multi-vessel coronary artery disease

23 Sep 2021

A 67-year-old female with a history of recurrent episodes of chest pain presented at the outpatient clinic. She also had a history of hyperlipidaemia, arterial hypertension, peripheral artery disease, diabetes mellitus type 2 and she was an active smoker.

Eric Wyffels

Author

Eric Wyffels
Konstantinos Bermpeis

Author

Konstantinos Bermpeis

Author

Niya Mileva

Author

Dario Bertolone
Emanuele Gallinoro

Author

Emanuele Gallinoro

Author

Giuseppe Esposito
Jeroen Sonck

Author

Jeroen Sonck
Carlos Collet

Author

Carlos Collet
CT-guided Robotic-assisted revascularisation in multi-vessel coronary artery disease

CABG or PCI?

05 Oct 2021

Find out more about the case of a 72-year-old male, very active, previous smoker with hypertension, who underwent a stress echo for dyspnea on exertion...

Reviewers:

Michele Pighi et Flavio Luciano Ribichini

Prof. Thomas Cuisset

Author

Thomas Cuisset
Pierre Deharo

Author

Pierre Deharo

Author

Jérôme Ferrara
CABG or PCI? Heart team and patient decision

A Medina 1-1-1 unprotected LM bifurcation in a transplanted heart

10 Aug 2021

Find out more about the case of a 70-year-old male with previous heart transplantation at 48 yo due to IHD, claudication of the right leg, and PTA of iliac arteries...

M. Pighi

Author

Michele Pighi

Author

Flavio Luciano Ribichini
Medina 1-1-1 unprotected LM bifurcation in a transplanted heart

Bubble trouble: aortic air embolization and de-embolization during coronary angiography

09 Aug 2021

Air embolism (AE) is a rare complication during interventional procedures and one of the most scaring for interventional cardiologists. Air bubbles in the coronary circulation often result in ischemic symptoms, vasospasm, and even cardiac arrest. In addition, arrhythmias are common and closely related to the coronary ...

Bubbles trouble: Aortic Air embolization and de embolization during coronary angiography

Optical coherence tomography to guide percutaneous coronary intervention of the left main coronary artery: the LEMON study

08 Jul 2021

The aim of the LEMON study was to assess the applicability of a predefined standardized protocol, which included three OCT runs.

Reviewer

Mila Kovacevic
Dejan Milasinovic

Reviewer

Dejan Milasinovic
OCT to guide PCI of LMCA: the LEMON study