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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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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?

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

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

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

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

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

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

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