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Coronary bifurcation lesions

08 Jul 2025

This updated chapter by T. Lefèvre provides a practical guide on strategies currently implemented in the treatment of coronary bifurcations, and highlights the main challenges and most debated issues to propose recommendations for an optimal approach. 

Authors :

Lefèvre T., Hovasse T.
The PCR Textbook chapter on Bifurcation lesions

Challenging STEMI and MVD scenarios

16 Dec 2021 – From GulfPCR-GIM 2021

In this session, five challenging STEMI cases are discussed so as to enable you to find out how to manage complex primary PCI in STEMI with multivessel disease (MVD).

Challenging STEMI and

DKC2 stenting - “Double”, double kissing crushing stenting to LM-LCx & LAD-1st diag

07 Mar 2022

A step-by-step simultaneous double kissing crushing stenting for a LM-LCX-LAD & 1st Diagonal branch double bifurcation PCI.

Oscar Mendiz

Author

Oscar Mendiz
DKC2 stenting - “Double”, double kissing crushing stenting to LM-LCx & LAD-1st diag

STEMI and cardiogenic shock

16 Dec 2021 – From GulfPCR-GIM 2021

Thanks to the 3 presentations proposed in this session, review SCAI classification of cardiogenic shock and appraise the role of MCS in the management of STEMI with cardiogenic shock in the cathlatb.

STEMI and cardiogenic

Sex differences in outcomes after percutaneous coronary intervention or coronary artery bypass graft for left main disease: from the DELTA registries

07 Mar 2022

The DELTA registry data provides real-world observational evidence that confirms what was reported in randomized trials: a higher rate of co-morbidities in women and better intermediate-term outcomes with CABG. 

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
Sex differences in outcomes after percutaneous coronary intervention or coronary artery bypass graft for left main disease: from the DELTA registries

International Women's Day 2022: Vijay Kunadian reflects on her journey from trainee to Professor of Interventional Cardiology

08 Mar 2022

This International Women's Day we celebrate the achievement of Vijay Kunadian who has been promoted to Personal Chair, Professor of Interventional Cardiology at Newcastle University. She was very surprised to learn that she is the first ever female interventional cardiologist in the UK to hold a University...

International Women's Day 2022

Oualid Zouaghi

Villeurbanne, France

Oualid Zouaghi

Complications during PCI, guidewire entrapment and and unexpected Impella complication

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this series of clinical cases- would you have made the same treatment choices to manage these complications?

- Unusual complication during an angiogram
- When wires give you troube
- Routine PCI complications: a CTO technique to the rescue
- Entrapment and fracture of coronary guidewire
- An unexpected Impella...

Complications during

GulfPCR-GIM 2021 Closing Ceremony

16 Dec 2021 – From GulfPCR-GIM 2021

After a retrospective of the best images of the GulfPCR-GIM 2021 Congress, attend the presentation of the best clinical case award to the 2021 winner and listen to the closing highlights that put an end to this edition.

GulfPCR-GIM 2021 Closing

A patient with multivalvular disease: which approach?

05 Apr 2022

An 81-year-old lady with past history of surgical aortic valve replacement followed by implantation of dual-chamber permanent pacemaker was admitted for recurrent episodes of right heart decompensations. The echocardiographic evaluation revealed massive TR and moderate primary MR due to a retracted posterior leaflet. What would be...

Fabien Praz

Author

Fabien Praz
Alessandro Sticchi

Author

Alessandro Sticchi
A patient with multivalvular disease: which approach?

Left main intervention in 2021

16 Dec 2021 – From GulfPCR-GIM 2021

In this session whose aim is to highlight imaging value, watch the case of a 64-year-old man with diabetes, hypertension and severe interstitial lung disease who presented with new onset of shortness of breath and functional class NYHA II-III for 3 days...

Left main intervention 2021

Pre-treatment with P2Y12 inhibitors in patients with chronic coronary syndrome undergoing percutaneous coronary intervention: a report from the Swedish Coronary Angiography and Angioplasty Registry

11 Mar 2022

The optimal timing of the administration of P2Y12 inhibitors in patients with CCS undergoing ad-hoc PCI is unknown. This study aimed to provide observational data to clarify these quandaries.

Kalpa De Silva

Reviewer

Kalpa De Silva
Trisha Suji

Reviewer

Trisha Suji
Pre-treatment with P2Y12 inhibitors in patients with chronic coronary syndrome undergoing percutaneous coronary intervention: a report from the Swedish Coronary Angiography and Angioplasty Registry

Trisha Suji

London, United Kingdom

Trisha Suji

Technical consideration for left main bifurcation in light of evidence

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this session to get proved that provisional side-branch stenting is recommended for the majority of bifurcation lesions, including the LM, that DK-Crush appears to be the best two-stent technique for important SB with complex stenoses, and that imaging and physiology can optimize stenting strategy decision...

Technical consideration

EuroPCR 2022 – Focus on core values

Discover how Sharing, Education, Innovation and Worldwide outreach form such an essential part of the Course

PCR Statement on the war in Ukraine

14 Mar 2022

As we all watch with disbelief the invasion of Ukraine initiated by the leadership of the Russian Federation, the PCR community condemns in the strongest terms this attack on Ukraine, its people and democracy.

CATHI Launches First New Generation Right Heart Catheter Simulator

09 Mar 2022

In remembrance of Eduardo Sousa

14 Mar 2022

Our heartfelt condolences to the family and loved ones of  Eduardo Sousa who passed away this March.

Eduardo Soussa

How to use devices efficiently in calcified lesions

15 Dec 2021 – From GulfPCR-GIM 2021

This case-based and practical guidance session will enable you to know how to tailor the available technology for lesions with high calcium content, understand the limitations of each device used for plaque modification, and overcome difficulties with each modality.

How to use devices efficiently

Late stent failure: a harsh reality

15 Dec 2021 – From GulfPCR-GIM 2021

Let's consider the modes of late stent failure in this session that will also enable you to understand the role of intravascular imaging in guiding evaluation of stent failure, and to enhance your skillset in treating late stent failure.

Late stent failure: a
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