71 year old male presented with new onset CCS Class III angina and positive ETT with significant ST-segment depression in multiple leads. A Cardiac Cath on November 29, 2016 revealed 3 V CAD: 80% calcified prox and mid RCA, 90% calcified proximal LAD and angulated 80% diagonal bifurcation and small sized 80% LCx-LPL1 with SYNTAX Score of 24 and normal LV systolic function. Patient underwent successful intervention of proximal and mid RCA using rotational atherectomy and two Promus Premiere DES. Patient is now planned for staged PCI of calcified proximal LAD and angulated diagonal bifurcation lesion using rotational atherectomy, venture catheter and dedicated two-stent strategy.