Diffuse LAD case featured in main arena at PCR18

Javier Escaned, San Carlos Hospital
Severely calcified mid-LAD involving septal branch; patient was high-bleeding risk and IABP used for hemodynamic support; operators wanted to avoid distal embolization for this patient and chose IVL; 3.0mm IVL catheter used across diffuse calcified disease; significant fractures seen under OCT in multiple planes; circumferential and well-apposed 3.0x32mm DES.
Baseline & IVL Treatment
Fractures Under OCT
Post-Stent & Stent Boost

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