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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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Left Main and bifurcation PCI - Session with LIVE demonstration

19 May 2021 – From EuroPCR 2021

Watch this session if you want to understand how to adapt your treatment strategy to the underlying anatomy, to learn the steps of provisional left main PCI and to discuss the pitfalls of provisional left main PCI.

This session was originally presented during EuroPCR 2021.

Left Main and bifurcation PCI

Clinical applications of IVUS, OCT and other intracoronary imaging techniques: practical simulation-based learning (Part 1)

19 May 2021 – From EuroPCR 2021

The aim of this session, originally presented during EuroPCR 2021, is to demonstrate how intra-coronary imaging can improve outcomes, to help understand appropriate indications for its use, and to provide practical tips & tricks on how to integrate intra-coronary imaging into daily clinical practice through a...

Clinical applications of IVUS, OCT and other intracoronary imaging techniques: practical simulation-based learning (Part 1)

Challenging Left Main Cases

18 May 2021 – From EuroPCR 2021

Watch this session to learn how to treat a challenging LM case in a young patient, to question the need to treat residual LAD disease after PPCI for an inferior STEMI, to find out more about complex left main bifurcation PCI with OCT control, and to...

Challenging Left Main Cases

Dealing with shock

18 May 2021 – From EuroPCR 2021

Find out more about left main shock syndrome, always an unpredictable situation, and study the case of a STEMI patient with cardiogenic shock.

Dealing with shock

Challenging heart failure and mitral regurgitation cases

18 May 2021 – From EuroPCR 2021

In this session, analyze the cases of a young patient with multivessel coronary disease and severe heart failure, and a patient with heart failure, prior rigid mitral ring replacement, and severe mitral regurgitation.

Challenging heart failure and mitral regurgitation cases

Culotte stenting for the treatment of unprotected distal LM with compromised Lcx ostium: the difficulty to cross stents cell with balloons

18 May 2021 – From EuroPCR 2021

In this session, analyze culotte stenting in patient with significant distal left main stenosis.

Culotte stenting for the treatment of unprotected distal LM with compromised Lcx ostium: the difficulty to cross stents cell with balloons

Complex PCI with short DAPT: the trade-off between ischaemia and bleeding

18 May 2021 – From EuroPCR 2021

Watch this session presented by Benjamin Faurie, Roxana Mehran and Manel Sabate in order to understand the trade-off between ischaemic risk and bleeding risk, to hear about the results of LM-PCI with Biofreedom Ultra and short DAPT, and to learn how to use short DAPT in patients undergoing complex...

Complex PCI with short DAPT: the trade-off between ischaemia and bleeding

EBC MAIN overview and the impact on clinical practice

18 May 2021 – From EuroPCR 2021

Watch this session presented by David Hildick-Smith, Jens Flensted Lassen and Goran Stankovic in order to learn more about this important study and understand the impact to clinical practice, to gain insights from an interesting EBC main case, and to listen to the expert's perspectives on other recent...

EBC main overview and the impact to clinical practice

Revascularisation for chronic coronary syndrome and multivessel disease (Part 1) - Session with LIVE demonstration

18 May 2021 – From EuroPCR 2021

Watch this session if you want to understand when patients with CCS and MVD should undergo revascularisation, to appraise how to select the optimal revascularisation strategy in such patients and to learn how to perform state-of-the-art PCI to achieve optimal procedural outcomes.

This session was originally presented...

Revascularisation for chronic coronary syndrome and multivessel disease - Part 1

Revascularisation for chronic coronary syndrome and multivessel disease - Part 2

18 May 2021 – From EuroPCR 2021

Watch this session if you want to  understand when patients with CCS and MVD should undergo revascularisation and to appraise how to select the optimal revascularisation strategy in such patients.

This session was originally presented during EuroPCR 2021.

Revascularisation for chronic coronary syndrome and multivessel disease - Part 2