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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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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

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?

Precision meets simplicity – Complex PCI guided by a 2nd generation fibre optic physiology guidewire

23 May 2019 – From EuroPCR 2019

Consult this session to learn through various compelling clinical cases how the new OptoWire physiology guidewire can make the difference compared to the current pressurewires, and how to use it in bifurcations, serial lesions and CAD and aortic stenoses.

Precision meets simplicity – Complex PCI guided by a 2nd generation fibre optic physiology guidewire

Innovations in complex multivessel disease PCI – SYNTAX II strategy and beyond

23 May 2019 – From EuroPCR 2019

Consult this session on innovations in complex multivessel disease PCI to learn more about the recent innovations in physiology and IVUS guidance and to review current data on rotational atherectomy for calcified lesion preparation.

Innovations in complex multivessel disease PCI – SYNTAX II strategy and beyond

New trials in coronary imaging and physiology

23 May 2019 – From EuroPCR 2019

Consult this session to learn all about the new trials and studies in coronary imaging and physiology: FFR-Search, ROCK II, HAWKEYE, and more!

New trials in coronary imaging and physiology

Nightmare complications of left main PCI

23 May 2019 – From EuroPCR 2019

Consult this session to learn all about how to anticipate and prevent severe left main complications and how to successfully manage left main complications such as dissection, perforation and stent loss.

Nightmare complications of left main PCI

Advanced guidance, preparation and treatment tools in complex PCI

23 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to simplify complex lesions with the use of physiology & imaging, how co-registration of iFR and IVUS helps in treating complex lesions, and more!

Advanced guidance, preparation and treatment tools in complex PCI

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

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