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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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EAPCI-PCR Fellows Course 2021 - Coronary track: Ambiguous LM/PCI strategy for mid-LAD bifurcation

14 Apr 2021 – From EuroPCR 2021

The best PCI strategies for an ambiguous LM, then a mid-LAD bifurcation. With golden tips from G. Stankovic and T. Lefèvre!

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...

EAPCI-PCR Fellows Course 2021 - Coronary track: Ambiguous LM/PCI strategy for mid-LAD bifurcation

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

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

Mortality 10 years after percutaneous or surgical revascularization in patients with total coronary artery occlusions

16 Feb 2021

The proposed manuscript is an intriguing sub-analysis from the recent SYNTAX Extended Survival (SYNTAXES) study, where the Synergy Between PCI With Taxus and Cardiac Surgery (SYNTAX) was investigated.

Alessandro Candreva

Reviewer

Alessandro Candreva

Reviewer

Salvatore Brugaletta
Mortality 10 years after percutaneous or surgical revascularization in patients with total coronary artery occlusions

How should I treat aortic stenosis in a patient with low left main stem take-off?

17 Feb 2021

A 74-year-old female with a history of peripheral artery disease, atrial fibrillation and type 2 diabetes presented to our outpatient clinic with atypical angina and shortness of breath on exertion...

Author

Maarten Van Wiechen

Author

Joost Daemen
N. Van Mieghem

Author

Nicolas Van Mieghem
How should I treat aortic stenosis in a patient with low left main stem take-off?

The Controlled Antegrade and Antegrade Tracking (CAAT) technique for left main trunk bifurcation divided by a flap-like structure

29 Jan 2021

The authors present a case of PCI for left main trunk bifurcation divided by a flap-like structure in a 67-year-old man suffering from effort angina, in which they successfully used a novel tracking technique by modifying the reverse controlled antegrade and retrograde tracking (CART), which they called...

The modified CART technique in bifurcation lesion

Overcoming challenges of STEMI PCI: case-based learning

13 Dec 2020 – From AICT-AsiaPCR 2020

Watch this session if you want to understand the haemodynamic and support for cardiogenic shock, to learn the management of large intracoronary thrombus burden and to define a strategy of primary PCI in patients with multivessel disease.

This session was originally presented during AICT-AsiaPCR 2020.

Overcoming challenges of STEMI PCI: Case-based learning

The year in review in Interventional Cardiology: clinical trials and relevant literature published in 2020

12 Dec 2020 – From GulfPCR-GIM 2020

Watch this session if you want to reflect on key learnings for clinical practice from selected trials published in 2020, to get a rapid overview of the most relevant literature of the year in the fields of coronary, valvular and peripheral interventions and to see examples...

The year in review in Interventional Cardiology

The effect of adding ticagrelor to standard aspirin on saphenous vein graft patency in patients undergoing coronary artery bypass grafting

23 Sep 2020

POPular CABG: A randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of ticagrelor on SVG patency when added to low-dose aspirin in post-CABG patients.

Guillaume Bonnet

Reviewer

Guillaume BONNET

Reviewer

Ali Nazmi Calik
Ticagrelor and saphenous vein graft patency after CABG (POPular CABG)