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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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...

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

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

PCI to treat the bystander disease in STEMI patients: who, when and how?

16 May 2024 – From EuroPCR 2024

Watch this case-based session on PCI for STEMI to see how the guidelines are influenced by the COMPLETE trial. Learn why and how physiology can guide intermediate lesions, the importance of intracoronary imaging guidance, the value of complete revascularization in STEMI patients, the optimal method for...

PCI to treat the bystander disease in STEMI patients: who, when and how?

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

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