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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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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

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

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?

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

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

FFR-guided PCI optimisation directed by high-definition IVUS

18 May 2021 – From EuroPCR 2021

Watch this session presented by Joost Daemen in order to understand the rationale of low post-PCI FFR, to learn if and how post-PCI FFR can be improved, and to know more about the risk of post-PCI optimisation.

FFR-guided PCI optimisation directed by high-definition IVUS

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?

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

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