80 year-old male with stable angina and NIDDM presented with CCS Class IV angina. A Cardiac Cath on February 16, 2016 (at an outside hospital) revealed calcific 3V+LM CAD; calcific 90% distal LMCA, 80% proximal LAD, 90% proximal LCx, 90% calcific mid RCA with in-stent restenosis and normal LV function; SYNTAX Score of 33. After heart team discussion, CABG was recommended but declined. Patient underwent successful intervention of mid RCA (Atherectomy and Promus Premier DES). Patient is now planned for staged PCI of calcific LM bifurcation lesion using rotational atherectomy and dedicated 2 stent approach.