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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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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

EBC MAIN trial results – what is new and what will change in left main stenting?

18 May 2021

The European Bifurcation Club Left Main (EBC MAIN) trial addressed the issue of provisional single stent versus upfront double stenting in 467 patients with true bifurcation distal left main disease. 

So far, only one other randomized trial, DKCRUSH-V (n=482), has addressed the same research question, showing better...

EBC MAIN trial results – what is new and what will change in left main stenting?

Usefulness of intracoronary imaging in your daily practice

12 May 2021 – From EuroPCR 2021

Thanks to this session, discover a surprising finding in a chronic coronary syndrome, get proof that IVUS can be essential to guide bifurcation stenting, face ACS with left main disease dilemma, among others!

EuroPCR 2021 Usefulness of intracoronary imaging in your daily practice

Tips & tricks in bifurcation stenting - Part 1

12 May 2021 – From EuroPCR 2021

Watch this session to get acquainted with a novel bifurcation stenting technique in an unusual situation, to learn how to prepare a calcific bifurcating lesion, to study a novel technique for coronary bifurcation lesions, and more!

EuroPCR 2021 Tips & tricks in bifurcation stenting - Part 1

Coronary aneurysms: diagnosis, treatment and complications

12 May 2021 – From EuroPCR 2021

Watch this session to increase your knowledge of coronary aneurysms: learn how to avoid side-branch occlusion thanks to covered stent shortening, how to treat left main coronary artery aneurysm, how to handle huge coronary aneurysm in case of DES, and much more!

Coronary aneurysms: diagnosis, treatment and complications

Emergent PCI in Cardiogenic shock

12 May 2021 – From EuroPCR 2021

This session will enable you notice how ECMO can support PCI of a severely calcified left main bifurcational stenosis, find out more about acute coronary syndrome with cardiogenic shock, appreciate improving outcomes of left main PCI by pulsatile circulatory support system, and more!

EuroPCR 2021 Emergent PCI in Cardiogenic shock

Complications: bifurcation lesions and left main

12 May 2021 – From EuroPCR 2021

Thanks to this session, study distal coronary artery perforation in left anterior descending artery bifurcation stenting, witness perforation, stent thrombosis, and left main dissection during one CTO intervention, and more!

Complications: bifurcation lesions and left main

Complex PCI in complex patients

28 Apr 2021 – From EuroPCR 2021

Watch this session to learn more about various existing ways to treat the culprit vessel during TAVI, double CTO on ECMO following in-hospital cardiac arrest, acute ST-elevation myocardial infarction and heavily calcified lesion, STEMI and cardiogenic shock, and more!

EuroPCR 2021 Complex PCI in complex patients

Treatment of bifurcation lesions

28 Apr 2021 – From EuroPCR 2021

This session will enable you to appreciate double kissing culotte for distal left main bifurcation, compare shotgun stenting vs complex PCI techniques in elderly patients, view critical distal left main stenosis and jailed wire, and much more!

EuroPCR 2021 Treatment of bifurcation lesions

Calcified arteries: rotablation, lithotripsy or both? - Part 1

28 Apr 2021 – From EuroPCR 2021

Thanks to this session, you will discover the contemporary ROTA-SHOCK-PUMP approach, compare traditional and innovative techniques to treat severe calcified stenosis, learn how to handle a coronary lithotripsy after rotational atherectomy in the presence of haematoma, and much more!

EuroPCR 2021 Calcified arteries: rotablation, lithotripsy or both? - Part 1