Straightforward LAD case
An 81-year-old man with multivessel disease was referred for high-risk complex PCI. Diagnostic angiography of the left coronary system demonstrated 80% proximal and mid-LAD diffuse calcific stenoses (Fig. 2.1) along with concomitant stenosis of the diagonal artery. This case illustrates a basic rotational atherectomy of the LAD and diagonal arteries, with stenting performed to both the main vessel and branch vessel with excellent results.