Case and Plan:

Demographics: 91-year-old male

Presentation: CCS Class II angina with positive MPI for multivessel ischemia

CAD Risk Factor: Hyperlipidemia, hypertension

Coronary Angiography: Calcified 2 V CAD, EF 65%, SYNTAX Score 18. Patient underwent successful PCI of proximal LCx and LCx-OM1 using IVL and DES x 2

Plan: OCT-and Physiology-Guided PCI of Calcified RCA BMS ISR

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