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
IVL @ 0 & 10 Pulses (4atms)
cad case4b
Post-Stent
cad case4c

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