Focal left main case featured in main arena at PCR18

Jean Fajadet and Bruno Farah, Clinique Pasteur
Severely calcified distal left main & proximal LAD lesion; operators were hesitant to use rota; IVL advanced with no pre-dilation required; 3.5 x12mm IVL treatment performed and balloon waist resolved after 20 pulses; final result of widely patent artery with TIMI 3 flow post-stent (3.5mm) with 4.5mm NC post-dil.
Baseline
Post-IVL
Post-Stent

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