61 year-old male with stable angina and NIDDM presented with CCS Class II angina. A stress MPI revealed moderate inferolateral and mild apical ischemia. A Cardiac Cath on March 14, 2016 revelaed 2V CAD: 80% LAD/Diagonal bifurcation (1,1,1), 80% OM1, total occlusion of LPL1 and normal LV function; SYNTAX Score of 22. Patient underwent successful intervention of LCx-OM1 (Xience Alpine DES 2.75/23mm) and LCx-LPL1 (PTCA and Xience Alpine DES 2.75/18mm). Patient is now planned for FFR guided PCI of LAD/Diagonal bifurcation and OCT imaging for decision making of side branch intervention.