Left main and multivessel disease

Latest left main and multivessel disease content in interventional cardiology - research, practice, and education

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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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

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

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

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

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