Diffuse LAD Case Featured in Main Arena at PCR18
Case submitted by Javier Escaned, San Carlos Hospital
Summary: Severely calcified mid-left anterior descending artery (LAD) involving septal branch; patient was high-bleeding risk and IABP used for hemodynamic support; operators wanted to avoid distal embolization for this patient and chose Shockwave IVL; 3.0 mm IVL catheter used across diffuse calcified disease; significant fractures seen under OCT in multiple planes; circumferential and well-apposed 3.0 x 32 mm drug-eluting stent (DES).