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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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

Clinical use of intracoronary imaging - EAPCI expert consensus

Tom Johnson talks to Giulio Guagliumi about the EAPCI expert consensus document on intracoronary imaging that he presented at EuroPCR 2019. He explains that the document “acknowledges difficulties we as an interventional community have in understanding how best to apply this exciting technology to ensure the...

Clinical use of intracoronary imaging - EAPCI expert consensus

Complex left main stem interventions

22 May 2019 – From EuroPCR 2019

Consult this session to learn more about how left main stem disease is treated in highly complex situations, such as trifurcate distal left main stem disease and ostial left anterior descending CTO, a left main stem PCI on a 100-year-old man, and more!

Complex left main stem interventions

LIVE demonstration from Humanitas Gavazzeni Hospital - Bergamo, Italy: Imaging and physiology for left main PCI

22 May 2019 – From EuroPCR 2019

Consult this session to discover the slides of the case "Imaging and physiology for left main PCI", transmitted live during EuroPCR 2019, and discover the patient's presentation and key clinical data.

Imaging and physiology for left main PCI

Surprise! Left main presentations you would not expect

22 May 2019 – From EuroPCR 2019

Consult this session to discover quite unusual left main clinical cases, such as an aborted sudden cardiac death in a patient with anomalous left coronary artery, an invasive functional assessment of malignant stenosed left main artery, and more!

Surprise! Left main presentations you would not expect

Tools and devices for complex left main PCI

22 May 2019 – From EuroPCR 2019

Consult this session to discover treatment strategies for various complex left main PCI, such as intravascular lithotripsy, rotational atherectomy, double minimal crush, and more!

Tools and devices for complex left main PCI

Functional assessment of coronary physiology in special situations

22 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to functionally assess coronary physiology in special situations, such as in a late-presentation myocardial infarction, in a lack of physiological improvement after PCI, and more!

Functional assessment of coronary physiology in special situations

Beyond the limit – Left main PCI in high-risk patients and complex anatomy

22 May 2019 – From EuroPCR 2019

Consult this session to learn about the treatment options for patients with complex anatomy not suitable for operative revascularisation, the strategies for lesion preparation in left main coronary artery in stable and ACS patient and for left main coronary artery stenting in high-risk patients.

Beyond the limit – Left main PCI in high-risk patients and complex anatomy

High bleeding risk: a case-based approach

22 May 2019 – From EuroPCR 2019

Consult this session on high bleeding risk patients to learn through various clinical cases more about the risks and benefits of DAPT duration, the strategies in PCI, and more!

High bleeding risk: a case-based approach

Left main bifurcation complicated cases: when planning and patience are paramount

22 May 2019 – From EuroPCR 2019

Consult this session to discover complicated left main bifurcation cases, and learn more about how to plan and select suitable stenting techniques for complex anatomies and how to better manage complications.

Left main bifurcation complicated cases: when planning and patience are paramount