Nearly occluded ostial RCA that was a planned rotablation case until guidewire crossed

Thierry Lefevre, Institut Cardiovasculaire Paris Sud
Nearly occluded RCA that was a planned rotablation case; however guidewire went through and 3.0 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 x18 DES.
Baseline
cad case5a
IVL @ 0 & 40 Pulses (4atms)
cad case5b
Post-IVL
cad case5c
Post-Stent
cad case5d

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