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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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Coronary dissection - Part 2

28 Apr 2021 – From EuroPCR 2021

Don't miss this session about iatrogenic dissection of aorta in a recanalization of a chronic total occlusion, LM dissection during PCI by decompression of false lumen, complication in a morbidly obese patient with STEMI, and more!

EuroPCR 2021 Coronary dissection - Part 2

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

LM PCI in complex scenarios

28 Apr 2021 – From EuroPCR 2021

Thanks to this session, study how to handle a dangerous compression, see how to manage cardiogenic shock secondary to a left main trifurcation lesion, discover a hybrid intravascular imaging strategy for left main bifurcation PCI, and much more!

EuroPCR 2021 LM PCI in complex scenarios

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

Unusual causes of stent failure

28 Apr 2021 – From EuroPCR 2021

Find out more about very late in-scaffold restenosis, consider a shocking treatment for stent underexpansion due to neoatherosclerosis, appreciate coronary intravascular lithotripsy to treat an under-expanded stent, and much more in this session!

EuroPCR 2021 Unusual causes of stent failure

How to tackle calcified lesions for a good outcome

14 Apr 2021 – From EuroPCR 2021

View this session if you're interested in CHIP PCI in ACS with heart failure and high bleeding risk, calcific left main stem restenosis after prior treatment with lithotripsy, calcific restenosis and tight distal narrowing, and much more!

EuroPCR 2021 How to tackle calcified lesions for a good outcome

Nightmares in the cath lab: prevention is better than cure

14 Apr 2021 – From EuroPCR 2021

In this session, watch a case of emergency high-risk PCI following TAVI in bicuspid anatomy, discover an unconventional treatment for re-stenosis, study how to deal with an emergency LM PCI in a young patient with ACS, and much more!

EuroPCR 2021 Nightmares in the cath lab: prevention is better than cure

DK crush or Culotte?

14 Apr 2021 – From EuroPCR 2021

Don't miss this session if you wish to discover how OCT guidance, assisted by IVL, can help in case of DK crush, or how high-risk left main PCI in a patient with severe aortic stenosis can be managed, among others...

EuroPCR 2021 DK crush or Culotte?

EAPCI-PCR Fellows Course 2021 - Coronary track: Revascularisation strategy/Left main disease

14 Apr 2021 – From EuroPCR 2021

The EAPCI-PCR Fellows Course is a project supported by the New Initiatives For Young Interventionalists Committee (NIFYI) and PCR NextGen, and is intended for practitioners at the beginning of their careers. Education and networking are at the core of the building of future careers powered by...

EAPCI-PCR Fellows Course - Coronary track: Revascularisation strategy/Left main disease