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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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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

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

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

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

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

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

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?