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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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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

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

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

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

Focus on challenges and complications of left main PCI

22 May 2019 – From EuroPCR 2019

Consult this session on challenges and complications of left main PCI to learn more about left main occlusion and pseudoaneurysm, left main complication in TAVI, the importance of thoroughly checking left main PCI result at the end of the procedure, and more!

Focus on challenges and complications of left main PCI

Intracoronary imaging for left main PCI

22 May 2019 – From EuroPCR 2019

Consult this session to learn more about how to use intracoronary imaging for left main PCI, thanks to a selection of compelling cases: triple coronary artery disease in a patient with Kyphoscoliosis, left main stem to left anterior descending PCI with self-apposing stent, and more!

Intracoronary imaging for left main PCI