Left main and multivessel disease

In OCT-guided PCI, observing an aorto-ostial lesion is impossible as it requires blood clearance, and the material of the guiding catheter used is not near-infrared transparent. Using a Telescope®-guiding extension catheter, the authors successfully acquired an OCT image throughout the soft polymer tip and the relatively wide...

This metanalysis demonstrates similar long-term mortality after PCI with DES compared with CABG in patients with LMCAD. Nor were there significant differences in cardiac death, stroke, or MI between PCI and CABG. Unplanned revascularization procedures were less common after CABG compared with PCI.

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...

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

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).

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...

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...

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...

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.

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...