78 year-old male with long standing history of stable angina presented with CCS Class III angina. A stress MPI test revealed moderate inferior and apical ischemia. A Cardiac Cath on October 20, 2015 revealed 2V CAD; CTO of proximal LAD and 80% proximal LCx with mild systolic LV dysfunction and SYNTAX Score of 26.5. Totally occluded LAD segment is >30mm in length and fills retrogradely via grade III collaterals from RCA. Patient underwent successful intervention of proximal LCx using Promus Premier DES. Patient is now planned for staged PCI of LAD CTO via antegrade or retrograde approach.