Basic LCX Case
The patient is an 82-year-old male with a past medical history of diabetes mellitus, hypertension, dyslipidemia, and known coronary artery disease, with prior PCI to proximal RCA with a 3.0 × 12 mm DES and to the distal RCA with a 2.5 × 12 mm DES 3 years ago. A 60–70% calcified LCX lesion was managed medically at that time. He was admitted to another hospital with unstable angina. He underwent coronary angiography that showed patent stents in RCA; however, his calcified LCX has progressed significantly to 95% and therefore was referred to PCI.
Baseline LCX lesion (MOV 3437 kb)
Rotational atherectomy with a 1.5 mm burr was performed on the LCX lesion leading to post atherectomy lumen size gain and allowing stent crossing (MOV 2612 kb)
Final result: optimal stent deployment was validated with IVUS guidance (MOV 1941 kb)