Highly angulated calcified LCX with lesions proximal and distal
Javier Escaned, San Carlos Hospital
Highly angulated LCX with lesions proximal and distal; OCT wouldn’t cross either lesion; guideliner-assisted IVL catheter delivery followed by successful IVL therapy; the case was completed with easy deployment of two long DES.
Baseline
![cad case3a](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case3a.png)
IVL @ 0 & 20 Pulses (4atms)
![cad case3b](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case3b.png)
IVL @ 10 & 30 Pulses (4atms)
![cad case3c](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case3c.png)
Post-Stent
![cad case3d](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case3d.png)