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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Best abstracts session #2

18 Dec 2024 – From GulfPCR-GIM 2024

This 'Best Abstracts' session features a diverse range of cutting-edge research in interventional cardiology. Explore insights into the Canadian experience with balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension, gain mechanistic understanding of iatrogenic coronary artery dissections through direct angioscopic visualization, and delve into the outcomes...

Best abstracts session #2

Left main bifurcation instent restenosis - LIVE case

18 Dec 2024 – From GulfPCR-GIM 2024

A 76-year-old male with a history of LM PCI (2-stent strategy), RCA PCI, reduced LV function (25%), diabetes, and CKD presented with worsening angina. Angiography revealed in-stent restenosis at the ostium of the LAD and CX, along with RCA occlusion.

The procedure was performed with axillary Impella...

Left main bifurcation instent restenosis  - LIVE case

How to deal with PCI complications

18 Dec 2024 – From GulfPCR-GIM 2024

Interventional cardiology is not without its challenges. This session delves into the management of complex PCI complications, equipping you with the knowledge and techniques to prevent, recognize, and effectively handle life-threatening situations. From the dreaded 'no-flow' scenario to the most intricate perforations and massive thrombus burdens,...

How to deal with PCI complications

Management of coronary aneurysms

18 Dec 2024 – From GulfPCR-GIM 2024

Explore this session to discover innovative approaches to the management of complex coronary aneurysms. From contrast-induced nephropathy prevention using a balloon angiography system to rescue techniques for wire fracture during atherectomy, you'll gain insights into navigating challenging scenarios. Dive deeper into the percutaneous exclusion of a...

Management of coronary aneurysms

TAVI and FFR-guided PCI vs. SAVR and CABG in AS with complex or multivessel CAD: the TCW Trial

16 Dec 2024

The TCW trial found that FFR-guided PCI with TAVI offers favorable one-year outcomes, including lower rates of all-cause mortality, MI, disabling stroke, revascularisation, valve reintervention, and severe bleeding, compared to CABG with SAVR.

Nicola Ryan

Reviewer

Nicola Ryan
TAVI and FFR-guided PCI vs. SAVR and CABG in AS with complex or multivessel CAD: the TCW Trial

The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

18 Nov 2024

A 73-year-old male with complex recurrent in-stent restenosis of the left main underwent an innovative treatment approach. Six-month follow-up revealed remarkable recovery and positive remodelling. Discover how Piotr Buszman and Mateusz Kachel tackled this challenging case.

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Piotr Buszman

Author

Piotr Buszman

Author

Mateusz Kachel
The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

Immediate versus staged complete revascularisation in patients presenting with STEMI and multivessel disease

21 Oct 2024

The current subanalysis of the BioVasc trial offers valuable insights into the long-term effects of ICR versus SCR strategies in STEMI patients with MVD. The findings support current guidelines on the necessity of revascularizing non-culprit lesions.

Reviewer

Ali Nazmi Calik

Reviewer

Murat Gökalp
Immediate vs staged complete revascularisation in patients presenting with STEMI and MVD

Less is sometimes more

09 Jan 2025

This case demonstrates the strategy and toolbox for treating a patient with chronic kidney disease and heavily calcified multivessel disease.

Judit Andréka

Author

Judit Andréka

Author

Sascha Paetzold
Dr. Gabor G. Toth

Author

Gabor G. Toth
Less is sometimes more

Image-guided PCI of distal left main disease

05 Oct 2024 – From AICT-AsiaPCR 2024

Exploring a recorded case of image-guided PCI of distal left main disease, as well as a new paradigm in AI-driven imaging, and learn how coronary imaging aids in decision-making, optimises final outcomes, and enhances stent clarity to guide results in complex PCI procedures. Watch now to deepen...

Image-guided PCI of distal left main disease

Navigating complex left main and multivessel coronary disease

05 Oct 2024 – From AICT-AsiaPCR 2024

Delve into the complexities of left main and multivessel disease in this captivating session, featuring selected AICT-AsiaPCR 2024 clinical case submissions. Witness expert cardiologists navigate intricate scenarios, from primary angioplasty of the left main with cardiogenic shock to the management of a complex left main bifurcation...

Navigating complex left main and multivessel coronary disease