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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Think again - Unexpected consequences from this surgery and intervention

23 May 2019 – From EuroPCR 2019

Consult this session to discover treatment strategies to cope with unexpected consequences resulting from an intervention, such as an hybrid coronary revascularisation following a concealed ischaemic left ventricular rupture, a case of AMI with sutured left circumflex after surgical aortic valve repair, and more!

Unexpected consequences from this surgery and intervention

Mismatch between coronary anatomy and physiology

23 May 2019 – From EuroPCR 2019

Consult this session on mismatch between coronary anatomy and physiology to learn more about various studies, such as COMBINE (OCT-FFR), DOCTORS, and more!

Mismatch between coronary anatomy and physiology

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

Ability to treat diabetic patients: DES + DCB strategy

23 May 2019 – From EuroPCR 2019

Consult this session to get insights about the need for a dedicated drug eluting stent (DES), as well as the benefits of a DES+DCB strategy, for diabetes mellitus (DM) and acute MI (AMI) patients.

Ability to treat diabetic patients: DES + DCB strategy

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

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

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

Complex PCI in high bleeding risk patients

23 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to identify high bleeding risk (HBR) patients requiring adjusted antithrombotic strategy and how to tailor PCI strategies to specific HBR patient for drug-device synergy.

Complex PCI in high bleeding

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

Image-guided multivessel PCI - LIVE Case

23 May 2019 – From EuroPCR 2019

Watch this LIVE demonstration from National University Heart Centre (Singapore) to discover the case of a 56 years-old male admitted for NSTEMI and paroxysmal AFib, whose angiogram also revealed a LAD/RCA disease. He was planned for a multivessel PCI: watch the treatment now!

Image-guided multivessel