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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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Complex PCI - Trifurcated lesion, MVD & calcified SVG

05 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to discover complex PCI cases, and learn how to better identify access sites and techniques to use to overcome the challenges coming with this procedure.

Complex PCI - Trifurcated lesion, MVD & calcified SVG

Left main revascularization: what you should know

05 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to discover tips & tricks regarding left main bifurcation PCI techniques, and learn more about imaging and physiologic assessment of left main coronary artery and the bifurcation.

Left main revascularization: what you should know

Complications - Thrombus, SCAD & SVG rupture

05 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to learn more about how to cope with various complications: high thrombus burden in right coronary artery (RCA), rupture of saphenous vein graft (SVG), spontaneous coronary artery dissection (SCAD), and more!

Complications - Thrombus, SCAD & SVG rupture

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 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

Left main interventions - Have a NOBEL approach to EXCEL

04 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to learn through compelling cases more about left main bifurcation disease treatment, and discover tips & tricks for treating it in setting of acute myocardial infarction / cardiogenic shock.

Left main interventions - Have a NOBEL approach to EXCEL

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 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