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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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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

Have you ever seen that before? Rare cases and complications

24 May 2019 – From EuroPCR 2019

Consult this session to discover uncommon clinical cases on left main and multivessel disease and stents and scaffolds, such as stenting for left main artery spasm related cardiac arrest, circumflex milking effect from pericardial constriction, and more!

Have you ever seen that before? Rare cases and complications

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

Never give up! A florilege of super complex cases

24 May 2019 – From EuroPCR 2019

Consult this session to discover the treatment strategy for complex clinical cases, such as primary PCI for posterior myocardial infarction, difficult PCI for an hidden culprit, and more!

Never give up! A florilege of super complex cases

Optimal revascularisation for multivessel disease

24 May 2019 – From EuroPCR 2019

Consult this session on multivessel disease to discover the treatments chosen to ensure an optimal revascularisation, with clinical cases involving a patient requiring a combined cardiac intervention and liver transplantation, a diabetic patient with complex multivessel coronary artery disease, and more!

Optimal revascularisation for multivessel disease

Complex distal left main PCI

24 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to perform complex distal left main PCI, and discover innovative treatment techniques and tools thansk to a selection of compelling clinical cases.

Complex distal left main

Highlights in coronary interventions

Innovations in coronary interventions and education for interventional cardiologists to improve their skills in carrying out interventions featured highly at this year’s EuroPCR. Julinda Mehilli, Rosli Mohd Ali and Patrick Calvert describe some of the best highlights, including new devices to treat severely calcified lesions, more...

Highlights in coronary interventions

Reducing long term ischaemic events in high-risk patients: the role of intensified antithrombotic treatment

23 May 2019 – From EuroPCR 2019

Consult this session to learn more about the role of intensified antithrombotic treatment in improving cardiovascular outcomes in high-risk patients and how to implement this treatment.

Reducing long term ischaemic events in high-risk patients: the role of intensified antithrombotic treatment