Figure 15.1
Calcified diffuse lesion from proximal to mid RCA
Figure 15.2
Calcified diffuse lesion from proximal to distal LAD
Figure 15.3
Calcified disease in distal LCX
The RCA was pre-dilated sequentially with a compliant 2.0 mm and non-compliant (NC) 2.5 mm balloon. However, the lesion was inadequately expanded (Fig. 15.4; Videos 15.3 and 15.4). Two runs of rotablation were then performed using a 1.5 mm burr (Fig. 15.5; Video 15.5), which helped to better prepare the lesion. This was followed by stenting with two overlapping 3.5 mm drug-eluting stent placement and post-dilation with NC 3.5 mm balloon. Video 15.6 show the well-expanded DES in RCA.
Figure 15.4
“Dogged boned” 2.5mm NC balloon signifying a calcified lesion that cannot be dilated