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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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

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!

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

Left main: presentation and diagnosis

16 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the presentation and diagnosis of left main coronary artery disease. It covers various case presentations and discussions, including isolated aortitis with critical coronary ostial stenosis due to Takayasu arteritis, acute left main occlusion, and critically...

Left main: presentation and diagnosis

Drug coated balloon PCI in complex scenarios

16 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the use of drug-coated balloons (DCB) in complex PCI scenarios. It covers various case presentations and discussions, including the use of DCB in left main PCI, 2-year angiographic follow-up after left anterior descending artery PCI...

Drug coated balloon PCI in complex scenarios

Calcified left main PCI strategies

16 May 2024 – From EuroPCR 2024

This session showcases selected clinical case submissions from EuroPCR 2024, focusing on strategies for managing calcified left main coronary lesions. Attendees will explore various approaches, including the use of specialized techniques and devices, to safely and effectively treat these complex lesions. Interactive discussions will provide valuable...

Calcified left main PCI strategies

Stent loss and coronary perforation: how to deal with

16 May 2024 – From EuroPCR 2024

This session explores the management of challenging complications during percutaneous coronary interventions, such as stent loss and coronary perforation. The presenters share case studies that demonstrate various techniques and strategies used to address these complications, including the use of CTO wires for distal wire perforation, managing...

Stent loss and coronary perforation: how to deal with

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

How to solve tricky coronary complications

16 May 2024 – From EuroPCR 2024

From balloon rupture during double-kissing crush stenting to a successful bailout for delayed coronary obstruction post-TAVI, and an unforeseen complication after chimney stenting in a high-risk patient, the session covers it all. Learn about the nuclear mushroom phenomenon during PCI in a calcified LAD, strategies for...

How to solve tricky coronary complications

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