Nearly Occluded Ostial RCA That Was a Planned Rotablation Case Until Guidewire Crossed

Case submitted by Thierry Lefevre, Institut Cardiovasculaire Paris Sud

Summary: Nearly occluded right coronary artery (RCA) that was a planned rotablation case; however guidewire went through and 3.0 Shockwave IVL catheter followed and opened up nicely after 40 pulses; once the RCA was open, we realized we undersized and used a 3.5 IVL – all 80 pulses in the two ostial segments; implanted a 3.5 x 18 drug-eluting stent (DES).