Multiple lesions treated down the RCA despite delivery issues with pre-dilation devices
Jonathan Hill, King’s College
Multi-lesion RCA; Couldn’t advance guideliner to distal lesion despite predilation; advanced 3.5mm IVL catheter as far as possible (1); delivered one cycle (10 pulses) and vessel opened; pulled back to the ostium (2) and vessel opened after one cycle (10 pulses); advanced to distal lesion (3) and vessel opened after one cycle (10 pulses); easily delivered 80mm of DES.
Baseline
![cad case4a](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case4a.png)
IVL @ 0 & 10 Pulses (4atms)
![cad case4b](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case4b.png)
Post-Stent
![cad case4c](https://shockwavemedical.com/wp-content/uploads/2018/12/cad_case4c.png)