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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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Antiplatelet and anticoagulation regime in complex patients

04 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session on antiplatelet and anticoagulation regime in complex patients to learn more about the management of DAPT following PCI and DES implantation in patients with high bleeding risk, thanks to a selection of challenging cases.

Antiplatelet and anticoagulation regime in complex patients

Left main and complex bifurcation stenting via transradial approaches

04 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to learn more about the best treatment options for patients presenting with left main and complex bifurcations lesions, and gain insights on vascular healing and latest clinical outcomes with Ultimaster DES.

Left main and complex bifurcation stenting via transradial approaches

Complex PCI - CTO lesions, acute STEMI & balloon occlusion

04 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to learn more about complex PCI management, and discover the optimal strategies for CTO lesions, acute STEMI and balloon occlusion.

Complex PCI - CTO lesions, acute STEMI & balloon occlusion

Challenging cases

04 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to discover challenging cases and their management: cardioembolic AMI in a post-MVR patient, anomalous left coronary artery origin from pulmonary artery in an asymptomatic adult, PCI in a patient with platelet function disorder, and more!

Challenging cases

Left main bifurcation stenting: a case-based approach

Are left main bifurcations different from other bifurcations? And is one stent better than two? Find out as Goran Stankovic, David Hildick-Smith and Francesco Burzotta discuss the recommendations of the latest consensus document from the European Bifurcation Club (EBC) dedicated to left main percutaneous coronary intervention...

Left main bifurcation stenting

Do we need new options in coronary physiology?

Which physiological index do you use? Watch Morton Kern of UC Irvine, Javier Escaned of Clinico Hospital San Carlos, and Jonathan Hill of King’s College discuss the need for new options in coronary physiology and why pressure guidewire performance matters.

This interview supported by Boston Scientific was...

New options in coronary physiology

Defining together a treatment strategy for calcified CAD in a patient with multivessel disease

20 Jun 2019

This is the case of a 68 year old female patient, autonomous and physically robust. She has been diabetic for 10 years, but without cardio-vascular antecedents. She was admitted for chest pain at rest, lasting around 70 minutes with signs of STEMI in the inferior leads...

Author

Flavio Luciano Ribichini
Strategy for calcified CAD in a patient with MVD

Practical aspects of left main trifurcation PCI

Michael HAUDE discusses left main trifurcation PCI with Alaide CHIEFFO from Italy, and Darius DUDEK from Poland. They bring their experience of treating this challenging lesion subset to talk about the broad spectrum of techniques required in the interventionalist’s toolbox, the available technologies and the use...

Left main trifurcation PCI

Left main PCI from imaging to outcomes

24 May 2019 – From EuroPCR 2019

Consult this session to learn through compelling clinical cases and studies all about left main PCI, from imaging to outcomes : safety and efficacy of self-apposing stents, treatment of left main using DES with bioresorbable polymer, and more!

Left main PCI from imaging to outcomes

Left main nightmares

24 May 2019 – From EuroPCR 2019

Consult this session dedicated to left main nightmares to discover interventionists' strategies to successfully treat complex left main complications, through various clinical cases such as diagnostic catheter-induced left main stem dissection, PCI complicated with left main dissection, and more!

Left main nightmares