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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ACS: how to approach special clinical scenarios

17 May 2024 – From EuroPCR 2024

This session focuses on the management of acute coronary syndrome (ACS) in special clinical scenarios. It covers topics such as treating ACS with multivessel disease, managing an ACS and unstable patient, and addressing subacute myocardial infarction. The session features case presentations and discussions, providing insights and...

ACS: how to approach special clinical scenarios

PCI of bifurcation lesions: management of complications - Part 2

17 May 2024 – From EuroPCR 2024

This session features selected EuroPCR 2024 clinical case submissions showcasing the management of complications during PCI of bifurcation lesions. Cases cover topics such as navigating tricky ostial lesions, dealing with dissecting hematomas, undeflatable balloons, and distal left main perforations. Discussions focus on troubleshooting techniques and optimizing...

PCI of bifurcation lesions: management of complications - Part 2

PCI of bifurcation lesions: management of complications - Part 3

17 May 2024 – From EuroPCR 2024

This session features additional selected EuroPCR 2024 clinical case submissions focusing on the management of complications during PCI of bifurcation lesions. Cases cover topics such as iatrogenic left main endarterectomy, left main dissections, and unexpected complications during various bifurcation stenting techniques. Discussions emphasize the importance of...

PCI of bifurcation lesions: management of complications - Part 3

Left main bifurcation techniques: ultra-low contrast PCI, modified reverse wire technique & more!

16 May 2024 – From EuroPCR 2024

This session showcases various techniques for managing complex left main bifurcation lesions, including the use of ultra-low contrast PCI in calcific disease, a modified reverse wire technique for severely angulated branches, and navigating subtotal occlusions, tortuosity, and trifurcations in post-TAVI PCI. The discussions provide practical insights...

Left main bifurcation techniques: ultra-low contrast PCI, modified reverse wire technique & more!

Drug-coated balloons in de novo coronary artery disease

16 May 2024 – From EuroPCR 2024

This session, in collaboration with various cardiology societies, focuses on the use of drug-coated balloons (DCBs) in the treatment of de novo coronary artery disease. It covers the optimal technique for PCI with DCBs, the indications and use of DCBs in small vessels, bifurcations, and multivessel...

Drug-coated balloons in de novo coronary artery disease

Left main imaging

16 May 2024 – From EuroPCR 2024

This session focuses on the use of intracoronary imaging techniques, such as OCT and IVUS, in the management of complex left main coronary artery disease. It presents various case studies, including successful complex PCI of left main trifurcation, left main compression due to pulmonary hypertension, and...

Acute coronary syndromes

16 May 2024 – From EuroPCR 2024

This session, in collaboration with various cardiology societies, focuses on the management of acute coronary syndromes (ACS). It presents three case studies, covering the management of culprit lesions in ACS, tips and tricks in difficult situations, and the management of multivessel disease. The discussions aim to...

Acute coronary syndromes

ACS: multimodality imaging saves the day

16 May 2024 – From EuroPCR 2024

This session explores various challenging acute coronary syndrome (ACS) cases where multimodality imaging, such as emergency cardiac CT, IVUS, and other techniques, played a crucial role in diagnosis and management. The cases cover a wide range of scenarios, including right coronary artery ACS, STEMI with a...

ACS: multimodality imaging saves the day

Tailored techniques for left main bfurcation interventions

16 May 2024 – From EuroPCR 2024

This session explores various techniques and strategies for managing complex left main bifurcation lesions. It features case studies that demonstrate the use of hybrid PCI to reduce metal burden, the importance of IVUS guidance, the challenges of large dimension left main PCI, and the role of...

Tailored techniques for left main bfurcation interventions

Challenging scenarios in NSTEMI

16 May 2024 – From EuroPCR 2024

This session features selected clinical case submissions that explore complex and challenging scenarios encountered in the management of NSTEMI patients. Participants will delve into discussions on topics such as coronary artery aneurysm, restenosis of coronary ostial stents, right-sided chest pain, subsequent occlusions of the left anterior...

Challenging scenarios in NSTEMI