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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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Management of PCI complications - Part 2

17 May 2024 – From EuroPCR 2024

This session focuses on the management of various PCI complications, including iatrogenic dissection after diagnostic coronary angiography, sinus node artery occlusion, a stuck 6F guide in the axillary artery, and the retrieval of a broken balloon. The session features a series of case presentations and discussions,...

Mastering PCI Complications - Part 2

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

PCI of bifurcation lesions: management of complications - Part 1

16 May 2024 – From EuroPCR 2024

Explore strategies for managing complex PCI of bifurcation lesions through case discussions. From stent deformation and delicate diagonal wiring to wire fracture with snare failure, decoiled coronary guidewires, misplaced stents, spontaneous coronary artery dissection, and late tamponade after PCI, this session covers how to effectively respond...

Mastering Bifurcation PCI: Navigating the unexpected

First results of randomised trials on advanced plaque modification techniques and intracoronary imaging

16 May 2024 – From EuroPCR 2024

This session presents the first results of randomized trials investigating the use of advanced plaque modification techniques, such as rotational atherectomy, lithotripsy, and laser atherectomy, as well as the role of intracoronary imaging (OCT and IVUS) in guiding percutaneous coronary intervention (PCI). The session aims to...

First results of randomised trials on advanced plaque modification techniques and intracoronary imaging

Management of PCI complications - Part 1

16 May 2024 – From EuroPCR 2024

This session comprises a series of selected EuroPCR 2024 Clinical Case submissions, focusing on the management of various PCI complications. Participants will explore cases involving coronary physiology challenges, iatrogenic compressive coronary intramural hematoma, misbehaving stents, catheter-induced dissections, and device malfunctions, along with the corresponding bailout techniques...

Mastering the Art of Complication Management in PCI

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...