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

416 results

Management of multi-vessel calcified coronary artery disease in acute myocardial infarction complicated by cardiogenic shock

17 Mar 2020

View this case of a 79-year-old woman complaining of atypical chest pain for 3 months, with diabetes and end-stage chronic kidney disease. Coronary CT revealed diffuse calcifications BUT critical coronary artery stenosis was excluded...

Author

Flavio Luciano Ribichini
Gabriele Pesarini

Author

Gabriele Pesarini
Management of multi-vessel calcified CAD in AMI complicated by cardiogenic shock

The application of predefined optimisation criteria for intravascular ultrasound guidance of left main stenting improves outcomes

16 Mar 2020

This registry-based analysis evaluated the impact of standardisation of IVUS guidance on the results of LM PCI.

Dejan Milasinovic

Reviewer

Dejan Milasinovic
The application of predefined optimisation criteria for intravascular ultrasound guidance of LM stenting improves outcomes

Intravascular imaging and 12-month mortality after unprotected left main stem PCI : an analysis from the British Cardiovascular Intervention Society database

20 Feb 2020

This retrospective analysis of the BCIS nationwide database compares the outcomes of unprotected left main PCI with and without the use of intravascular imaging (IVUS or OCT).

Dejan Milasinovic

Reviewer

Dejan Milasinovic
Panagiotis Xaplanteris

Reviewer

Panagiotis Xaplanteris
Intravascular imaging and 12-month mortality after unprotected left main stem PCI: an analysis from the BCIS database

Mortality after repeat revascularization following PCI or coronary artery bypass grafting for left main disease: The EXCEL Trial

05 Feb 2020

This study is a sub-analysis of the EXCEL (Evaluation of XIENCE Versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization) trial. Its aim is to evaluate the rate and impact of repeat revascularization of the Left Main coronary artery using modern PCI or surgical...

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
Khaled F. Al-Shaibi

Reviewer

Khaled Al-Shaibi
Mortality after repeat revascularization following PCI or CABG for left main disease

Long-term follow-up of complete versus lesion-only revascularization in STEMI and multivessel disease

21 Jan 2020

The CvLPRIT trial demonstrated that at one-year MACE (all-cause death, recurrent MI, heart failure and ischaemia driven revascularisation) was significantly lower in the CR group compared to the IRA group with no differences in safety endpoints. In this paper, the authors report the extended follow-up to...

Nicola Ryan

Reviewer

Nicola Ryan
Dejan Milasinovic

Reviewer

Dejan Milasinovic
Long-term follow-up of complete vs lesion-only revascularization in STEMI and multivessel disease

Best of PCRonline in 2019

13 Jan 2020

Thank you to the thousands of cardiologists and healthcare professionals whose contribution to the website provides the community with a valuable, free resource of education in cardiovascular interventions - this embodies the By and For that sets PCRonline apart! Thanks to you, over half a million...

Best of PCRonline in 2019

Interactive Case Corner 8 - LICA stenosis & complex LM PCI

19 Dec 2019 – From GulfPCR-GIM 2019

Consult this session to discover two challenging cases: a very distal stenosis in LICA with aberrant origin, where you will learn more about arch anomalies, and a complex LM PCI, where you will gain insight into the role of rotablation and OCT.

Interactive Case Corner 8 - LICA stenosis & complex LM PCI

How to optimise PCI in a patient with multivessel disease? LIVE Case

19 Dec 2019 – From GulfPCR-GIM 2019

Watch this case of an 81-year-old female with no prior history of CAD who presented with unstable angina. The patient had recent acute coronary syndrome and baseline angiography shows multivessel disease.

The objectives of this case are:

  1. Assess your patient as a whole package!
  2. Lesion preparation is key for...
How to optimise PCI in a patient with multivessel disease? LIVE Case

Complex and challenging cases I

18 Dec 2019 – From GulfPCR-GIM 2019

Consult this session to learn how to manage complex complications, with a selection of challenging clinical cases such as: high-risk left main artery, stent ablation and rota-stenting, LT main lesion, and more!

Complex and challenging cases I

Interactive Case Corner 4 - Wandering stent

18 Dec 2019 – From GulfPCR-GIM 2019

Consult this session to discover the case of a high-risk patient accepted for LM and multivessel PCI, and learn more about the transulnar approach strategy and benefits.

Interactive Case Corner 4 - Wandering stent