77 year-old male presented with CCS Class I angina. A stress echo revealed inferolateral and apical ischemia with +ETT high DTS of -6. A Cardiac Cath on November 24, 2015 reveleated 2V CAD; 80% proximal & 70% D1 LAD bifurcation (Medina 1,1,1) and 70% LCx – OM2 with normal LV function and SYNTAX Score of 14. Patient underwent successful intervention of LCx-OM2 using Promus Premier DES. Patient is now planned for staged PCI of LAD D1 bifurcation with dedicated 2 stent technique via Right Radial approach.