Case and Plan

65-year-old obese male, known CAD s/p PCI presented with severe CCS Class III angina. A Cardiac Cath on November 2, 2021 revealed 2 V CAD; calcified and tortuous multiple 70-80% RCA lesions, 90% LAD D2 with LVEF = 60%, SYNTAX Score of 17. Patient underwent successful intervention of LAD D2 using Promus Elite DES. Patient is now planned for complex PCI of calcified tortuous RCA and branches using rotational atherectomy and IVL.