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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

422 results

The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

18 Nov 2024

A 73-year-old male with complex recurrent in-stent restenosis of the left main underwent an innovative treatment approach. Six-month follow-up revealed remarkable recovery and positive remodelling. Discover how Piotr Buszman and Mateusz Kachel tackled this challenging case.

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Piotr Buszman

Author

Piotr Buszman

Author

Mateusz Kachel
The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

Immediate versus staged complete revascularisation in patients presenting with STEMI and multivessel disease

21 Oct 2024

The current subanalysis of the BioVasc trial offers valuable insights into the long-term effects of ICR versus SCR strategies in STEMI patients with MVD. The findings support current guidelines on the necessity of revascularizing non-culprit lesions.

Reviewer

Ali Nazmi Calik

Reviewer

Murat Gökalp
Immediate vs staged complete revascularisation in patients presenting with STEMI and MVD

Less is sometimes more

09 Jan 2025

This case demonstrates the strategy and toolbox for treating a patient with chronic kidney disease and heavily calcified multivessel disease.

Judit Andréka

Author

Judit Andréka

Author

Sascha Paetzold
Dr. Gabor G. Toth

Author

Gabor G. Toth
Less is sometimes more

Complex left main bifurcation PCI - LIVE case

05 Oct 2024 – From AICT-AsiaPCR 2024

Follow this case of a 65-year-old male with hypertension, a smoker with increasing angina. The coronary angiography found ostial calcified LAD and Circonflex confirmed by IVUS, with a preserved LV function.
The operators decided to perform a PCI of the distal left main with the DK-Crush technique...

Complex left main bifurcation PCI - LIVE case

Bifurcation PCI with TAP technique - LIVE case

05 Oct 2024 – From AICT-AsiaPCR 2024

A 72-year-old lady with dyslipidemia, hypertension and aspirin intolerance presented an NSTEMI. The coronary angiography showed a distal CX occlusion and a long calcified significant stenosis on proximal LAD with LAD/D3 bifurcation lesion, and a reduced LV function (47%).
Watch the operators as they perform an important...

Bifurcation PCI with TAP technique - LIVE case

Image-guided PCI of distal left main disease

05 Oct 2024 – From AICT-AsiaPCR 2024

Exploring a recorded case of image-guided PCI of distal left main disease, as well as a new paradigm in AI-driven imaging, and learn how coronary imaging aids in decision-making, optimises final outcomes, and enhances stent clarity to guide results in complex PCI procedures. Watch now to deepen...

Image-guided PCI of distal left main disease

Complex calcified left main bifurcation - LIVE case

05 Oct 2024 – From AICT-AsiaPCR 2024

An 82-year-old woman with diabetes, hypertension, a history of Micra and RCA PCI 2 years later, was admitted for NSTEMI. The coronary angiography showed a very calcified distal left main stenosis, a significant and calcified ostial LAD stenosis (medina: 1 1 0), confirmed by IVUS. She...

Complex calcified left main bifurcation  - LIVE case

Tips and tricks for left main PCI

05 Oct 2024 – From AICT-AsiaPCR 2024

Dive into this comprehensive session to learn essential tips and tricks for tackling left main PCI. Gain insights on managing thrombus at the left main and providing hemodynamic support in low-resource settings. Discover techniques to handle complex lesions at the left main, and learn how to...

Tips and tricks for left main PCI

Navigating complex left main and multivessel coronary disease

05 Oct 2024 – From AICT-AsiaPCR 2024

Delve into the complexities of left main and multivessel disease in this captivating session, featuring selected AICT-AsiaPCR 2024 clinical case submissions. Witness expert cardiologists navigate intricate scenarios, from primary angioplasty of the left main with cardiogenic shock to the management of a complex left main bifurcation...

Navigating complex left main and multivessel coronary disease

How to treat complex calcified lesions

04 Oct 2024 – From AICT-AsiaPCR 2024

Dive into the complex world of treating calcified lesions, where imaging guidance and specialized techniques are crucial. Discover strategies for tackling challenging cases, from calcified left main bifurcations to multivessel disease with severe left ventricular dysfunction. Learn how to leverage imaging insights, calcified modification techniques, and...

How to treat complex calcified lesions