Heavily calcified proximal LAD lesion done by Samir Pancholy with Sanjay Shah

The seventh live demonstration case was a heavily calcified proximal LAD lesion which was done by Samir Pancholy with Sanjay. Once again calcium management was done using rotational atherectomy followed by Shock-Wave therapy and aggressive balloon dilatation. OCT evaluation followed by stent implantation was done with excellent end result. Samir and the panel had a lot of discussion on calcium management, the mechanism of different technologies and plaque debulking versus plaque modification. Everybody enjoyed the case.

[@sarge5000]

The ostial LM is angiographically significant

[@jwilson3985]

Initial viewpoint: 1.25 burrs are junk. 1.5 minimum here could even do 1.75. If you take 1.25 it would be to rota the diag.