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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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

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

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

Uncommon PCIs in left main disease: insights from daily practice

23 May 2019 – From EuroPCR 2019

Consult this session on uncommon PCI to learn through challenging cases how to deal with them, how to choose the right tools and techniques and how to change strategy promptly when particular situations require to do so.

Uncommon PCIs in left main disease: insights from daily practice

Precision PCI - Role of imaging and physiology in optimisation of PCI

23 May 2019 – From EuroPCR 2019

Consult this session to learn all about the role of imaging and physiology in optimisation of PCI, along with the pros and cons of different imaging modalities in decision making.

Precision PCI - Role of imaging and physiology in optimisation of PCI

What is right for the left main?

23 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to define the best revascularisation strategy in left main stenosis, how to plan and perform intra-coronary imaging-guided left main bifurcation, and more!

What is right for the left main?

Challenging cases of left main PCI

23 May 2019 – From EuroPCR 2019

Consult this session to discover challenging cases of left main PCI, such as left main stem bifurcation PCI for STEMI and cardiogenic shock, change in technique during left main PCI due to abrupt occlusion of left circumflex, and more!

Challenging cases of left main PCI

Complex PCI made simple... by IVUS

23 May 2019 – From EuroPCR 2019

Consult this session on ivus-guidance complex PCI and discover compelling clinical cases, such as an isolated critical ostial stenosis of unprotected left main coronary artery in ACS, a spontaneous coronary arterial dissection complicated left main dissection, and more!

Complex PCI made simple... by IVUS

Designing strategies for complex left main PCI

23 May 2019 – From EuroPCR 2019

Consult this session on complex left main PCI and discover interesting treatment strategies, such as a first-in-man left main PCI with two self-apposing sirolimus-eluting stents using culotte technique, and more!

Designing strategies for complex left main PCI

Optimising the treatment of severely calcified vessels with orbital atherectomy

23 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to use orbital atherectomy for lesion preparation, enabling successful stent delivery, expansion and apposition and how the use of advanced imaging and the Diamondback 360 coronary orbital atherectomy system can optimise PCI outcomes.

Optimising the treatment of severely calcified vessels with orbital atherectomy