Left main and multivessel disease

Latest left main and multivessel disease content in interventional cardiology - research, practice, and education

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 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

All you need to know on left main bifurcations

04 Oct 2024 – From AICT-AsiaPCR 2024

Explore the latest insights on managing left main bifurcation lesions. Understand the current status of stenting approaches, particularly for left main distal bifurcation lesions. Discover the importance of intravascular imaging guidance in improving clinical outcomes for these complex cases.

All you need to know on left main bifurcations

Optimising outcomes in treating multivessel disease - LIVE case

04 Oct 2024 – From AICT-AsiaPCR 2024

A 75-year-old male with hypertension, dyslipidemia and a lot of co-morbidities presented a positive echo stress test. The coronary angiography showed diffuse calcified disease on LAD, CX, OM1 and RCA. There is significant stenosis on ostial RCA, mid LAD, mid CX and OM1.
After physiology assessment...

Optimising outcomes in treating multivessel disease - LIVE case

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

Expert strategies for high-risk left main procedures

04 Oct 2024 – From AICT-AsiaPCR 2024

Expert strategies for high-risk left main procedures

Fighting with calcium is always a struggle

12 Sep 2024

Managing calcified lesions is always a challenge, and while rotablation is the default technique, other methods must sometimes be considered, especially for eruptive calcified nodules, such as Shockwave, OPN balloon, or orbital atherectomy.

Petros Dardas

Author

Petros Dardas
Nikolaos Mezilis

Author

Nikolaos Mezilis
Fight with calcium is always a struggle

Optimal minimal stent area and impact of stent underexpansion in left main up-front 2-stent strategy

10 Jul 2024

The present study aimed to revise the IVUS-derived segmental MSA criteria for optimal stent expansion in patients undergoing an up-front 2-stent strategy using the crush technique for LM bifurcation lesions to predict the 5-year clinical outcomes.

Reviewer

Salvatore Brugaletta
Optimal minimal stent area and impact of stent underexpansion in left main up-front 2-stent strategy

Expect trouble when calcium meets tortuous anatomy

01 Aug 2024

This case illustrates the challenges of managing a previously bypassed patient in an acute setting with LM disease and high calcium burden involving LAD and Cx ostias, and occlusion of the venous graft towards the Cx. The tortuous anatomy is a further hurdle to management and choice...

Anass Maaroufi

Author

Anass Maaroufi

Author

Sascha Paetzold
Dr. Gabor G. Toth

Author

Gabor G. Toth
Expect trouble when calcium meets tortuous anatomy

Left Main PCI with Intracoronary Imaging Guidance

28 Jun 2024

Explore left main PCI with intracoronary imaging guidance should be routine, discuss the evidence base for IVUS/OCT guidance, and much more!

Completeness of revascularisation in acute coronary syndrome patients with multivessel disease

28 Jun 2024

Explore evidence on complete revascularisation for patients with STEMI or NSTEMI and multivessel disease, and provide insights into the roles of intracoronary guidance by physiology and imaging.

Completeness of revascularisation in acute coronary syndrome patients with multivessel disease