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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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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

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

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

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