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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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Acute coronary syndrome caused by coronary aneurysms

16 May 2024 – From EuroPCR 2024

This session will explore various cases of acute coronary syndromes caused by coronary artery aneurysms. Participants will learn about the diagnosis, management, and treatment strategies for these rare and complex cases, including the use of imaging and interventional techniques to address the underlying pathology.

Acute coronary syndrome caused by coronary aneurysms

Multivessel disease PCI guided by physiology and IVUS - LIVE case

16 May 2024 – From EuroPCR 2024

A 78-year-old woman with hypertension, dyslipidemia, and obesity, presented with angina CCS2 and preserved LV function. The coronary angiogram showed stenosis in the RCA (proximal and mid), CX, and calcified proximal and mid LAD involving D1 and D2.
The operators performed PCI on the RCA (1 stent)...

Multivessel Disease: A LIVE Educational Case from Spain

Comparative insights into QFR, FFR, and angiography

16 May 2024 – From EuroPCR 2024

This session, comprising selected EuroPCR 2024 Abstract submissions, focuses on various aspects of assessing and managing multivessel coronary artery disease. It includes presentations and discussions on the use of quantitative flow ratio (QFR) for assessing non-culprit lesions in acute myocardial infarction, functional assessment of surgical revascularization,...

Comparative insights into QFR, FFR, and angiography

Challenges and complications in STEMI: resuscitated cardiac arrest, left ventricular free wall rupture & more!

16 May 2024 – From EuroPCR 2024

This session presents a series of challenging and complex STEMI cases, highlighting the various complications that can arise during primary PCI. Attendees will witness real-life scenarios, including resuscitated cardiac arrest, the use of rotational atherectomy, left ventricular free wall rupture, and more. Through interactive discussions, the...

Challenges and complications in STEMI: resuscitated cardiac arrest, left ventricular free wall rupture & more!

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

State-of-the-art on left main interventions in Latin America

16 May 2024 – From EuroPCR 2024

This session, in collaboration with the Sociedad Latino Americana de Cardiologia Intervencionista (SOLACI), provides insights into the management of left main coronary artery disease in Latin America. Attendees will learn about the revascularization guidelines for left main in the region, the approaches to left main bifurcations...

State-of-the-art on left main interventions in Latin America

Innovative approaches to rare PCI complications in NSTEMI

16 May 2024 – From EuroPCR 2024

This session features selected clinical case submissions that explore complex PCI scenarios in NSTEMI patients. Participants will learn about rare complications following coronary angioplasty, strategies for identifying the correct culprit lesion, techniques for managing pericardial effusion, and other challenging situations encountered during complex PCI in NSTEMI....

Innovative approaches to rare PCI complications in NSTEMI

Tackling challenging scenarios of left main PCI

16 May 2024 – From EuroPCR 2024

This session, with the collaboration of the South African Society of Cardiovascular Intervention (SASCI), Bangladesh Society of Cardiovascular Intervention and Indonesian Society of Interventional Cardiology, focuses on overcoming the most challenging issues in complex left main bifurcation stenosis PCI. It includes case discussions on techniques to...

Tackling challenging scenarios of left main PCI

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