Case and Plan:
57-year-old male presented with CCS Class I angina and coronary CTA revealed extensive calcific 3V CAD. A Cardiac Cath on September 6, 2024 revealed calcified 2 V CAD: 95% proximal, 80% mid-distal RCA, 90% mid LAD with + RFR, SYNTAX Score of 22 and LVEF 60%. Patient underwent successful PCI of mid LAD using atherectomy & Xience DES. Patient is now planned for imaging guided staged PCI of multiple calcified RCA lesions using Rotational Atherectomy + IVL.
