Left Main Bifurcation
Live Case Series
Left Main Bifurcation VoD
Left Main Bifurcation Live Case Series
Left Main Bifurcation VoD

Watch on Demand Our Left Main and Bifurcation Live Case Series Video on Demand

In this live case series  VoD page, you will learn more about Professor James Spratt and Dr Thierry Lefèvre guiding  us through a progressive and comprehensive educational journey around the globe. We will join various live case centres, over 11 months to learn from over 30 expert perspectives on how LMPCI is performed in a contemporary setting

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Live case VoD now available for you:

Live case 1:  The Process Behind the Procedure: An Introduction to Left Main PCI
Live case 2: The Role of IVUS
Live case 3: Approach to LMS & Choosing Stent Strategy
Live case 4: Lesion preparation
Live case 5: Provisional LMS Stenting (Single Stent)
Live case 6: Culotte Technique
Live case 7: DK Crush
Live case 8: TAP & T Techniques
Live case 9: Physiology & the LMS
Live case 10: Post CABG
Live case 11: Complication Management


Part 1 - The Process Behind the Procedure: An Introduction to Left Main PCI

Brought to you live from The Royal Victoria Hospital, Dr Simon Walsh tackles a surgical turn down Left Main due to COVID restrictions on surgery. 4 sessions


Part 2 - The Role of IVUS

In this session Professor James Spratt summarizes Live Case 1 from Belfast and is joined by Dr Joost Daemen and Dr Jose de la Torre to discuss IVUS driven strategy and optimization. Dr Colm Hanratty and Professor Robert Byrne take us through an IVUS led left main case from the Mater Private Hospital in Dublin.


Part 3 - Approach to LMS & Choosing Stent Strategy

The third live case was focused on choosing stent strategy for left main bifurcations and features a broadcast from Clinique Saint Augustin in Bordeaux with Dr Oliver Darremont and Dr Nicolas Boudou. The patient had what appeared to be a very tight distal LMS trifurcation. Guidance of High Definition IVUS and the provisional approach resulted in a single stent from LCX to LM. Operators appreciated the extra strength and dedicated design of Synergy Megatron.

Part 4 - Lesion preparation

The fourth live case focussed on lesion preparation with a broadcast from Humanitas Research Hospital in Milan with Dr Bernhard Reimers and Dr Gabriele Luigi Gasparini operating with IVUS commentary by Dr Damiano Regazzoli Lancini. A very complex case was chosen with a subtotal occlusion of a very calcified and tortuous LAD and left main disease with many challenges trying to get into the distal LAD. The left main was assessed with IVUS. Eventually the subintimal track was dilated and the patient will be brought back in a few months for PCI.

Part 5 - Provisional LM Stenting (Single Stent)

In Live Case 5 the operators used both physiology and IVUS to guide their decision making. Comet pressure wire in the circumflex showed negative DFR and FFR readings, and IVUS showed no disease at the circumflex ostium so they decided to go with a stepwise provisional strategy. They systematically used IVUS to plan the stent strategy (pullbacks in both LAD and LCX) and very thoroughly demonstrated how to assess “the 3 L’s – lesion, length, and landing zones”. A second stent was deployed and final angiographic result was excellent. A systematic, planned, clear, concise and expertly delivered case.

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