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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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

LM trifurcation STEMI

18 May 2021 – From EuroPCR 2021

Watch the case of this 69-year-old male patient suffering from LM trifurcation with sub-occlusive lesion who presented with severe bradycardia and hypotension after angios: would you have treated him the same way?

LM trifurcation STEMI

When nightmares become real

18 May 2021 – From EuroPCR 2021

In this session, study the delicate case of a patient facing 3 possible treatment scenarios and find out what the doctor's choice is, and why. CABG, PCI left system first and then RCA, or reverse: would you have chosen the same option?

When nightmares become real

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

Surgery or PCI?

18 May 2021 – From EuroPCR 2021

In this session, discover a case when the surgeon ́s ambitions are higher than his courage.

Surgery or PCI?

Shock the Rock: new intravascular lithotripsy real-world data and cases

18 May 2021 – From EuroPCR 2021

Watch this session presented by Emanuele Barbato, Holger Nef, Arif Al Nooryani, Alfonso Ielasi, Michael Haude, Margaret McEntegart and Flavio Luciano Ribichini in order to learn how to optimally adopt Intravascular Lithotripsy (IVL) for treatment of calcified lesions, to identify best practices when using IVL in different clinical settings,...

Shock the Rock: new intravascular lithotripsy real-world data and cases

Ultra-low contrast 2021: new skills and technologies for next frontier in PCI

18 May 2021 – From EuroPCR 2021

Watch this video presented by Ziad Ali, Nieves Gonzalo, Alexander Becker, Javier Escaned and Billal Patel in order to understand what's the rationale for ULCPCI, to get an overview of techniques that help you dramatically reduce the contrast dose while performing PCI, and to gain some visibility...

Ultra-low contrast 2021: new skills and technologies for next frontier in PCI

Single vs. two-stent techniques in left main: the impact of EBC MAIN

18 May 2021 – From EuroPCR 2021

Watch this video presented by Goran Stankovic, Tom Johnson, David Hildick-Smith, Jens Flensted Lassen, Gabor G. Toth and Junjie Zhang in order to understand the results of EBC MAIN and the impact to clinical practice, to discuss the EBC MAIN outcomes of one- vs. two-stent technique, and to hear...

Single vs. two-stent techniques in left main: the impact of EBC MAIN

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