Case and Plan:
71-year-old male presented with CCS Class III angina and 3V CAD on CTA with ctFFR+. A Cardiac Cath on September 24, 2024 revealed 3V + LM disease: 80% calcified proximal-mid RCA, 90-95% proximal Ramus Intermedius, 80% proximal LCx, 80% distal LM bifurcation with SYNTAX Score of 32 and LVEF = 60%. After Heart Team discussion, PCI was planned and underwent Rota DES of RCA and did well. Patient is now planned for IVUS guided PCI of calcified distal LM bifurcation using Rota Stent approach and Mini Crush technique.
