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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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

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

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

PCR Clinical Research 2021 - Waiting for EBC-MAIN, a randomised trial of stenting strategies for the treatment of LM coronary bifurcation disease

28 Apr 2021 – From EuroPCR 2021

How are you going to treat your next left main lesion involving both LAD and CX ostia: provisional vs. upfront two-stent strategy ? Follow this PCR Clinical Research episode for more news on the EBC MAIN trial!

PCR Clinical Research - Late breaking science at EuroPCR 2021:...

PCR Clinical Research 2021 - Waiting for EBC-MAIN, a randomised trial of stenting strategies for the treatment of LM coronary bifurcation disease

A mix of complications in interventional cardiovascular medicine

14 Apr 2021 – From EuroPCR 2021

In this session, you will learn how to adopt the right method when bleeding challenges guidelines, retrieve a fractured driveshaft tip of orbital atherectomy system by micro basket, guide catheter delamination during left main stenting after TAVI, and much more!

EuroPCR 2021 A mix of complications

Stent dislodgement / Fracture - Part 1

14 Apr 2021 – From EuroPCR 2021

In this session, get the chance to examine an unusual case of deformation of ostial left main stent, learn how to manage stent dislodgement during primary PCI, get familiar with novel handling in stent dislodgement, and more!

EuroPCR 2021 Stent dislodgement / Fracture - Part 1

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

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

Challenging cases in difficult clinical scenarios

14 Apr 2021 – From EuroPCR 2021

Thanks to this session, you will know more about how to manage simultaneous myocardial infarction and arm ischemia, how to facilitate antegrade wiring of tortuous RCA thanks to sub-intimal dissection and stabilisation, how to guide the way when handling a difficult graft PCI, and more!

EuroPCR 2021 Challenging cases in difficult clinical scenarios

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?