A 7 Fr EBU 3.5 guiding catheter with side hole was engaged into left coronary artery ostium through right femoral approach. A 0.014 inch Rotawire was placed into the LAD. And then, rotablation was performed with a rotablator 1.5mm burr (Figure 1). After rotablation, we changed into a 0.014 inch BMW wire at LAD using FINECROSS microcatheter. Another two 0.014 inch BMW wires were inserted into D1 and D2 branches, respectively. Predilatation at pmLAD with a Voyager NC balloon 2.5x20mm was performed (Figure 2). After predilatation, they deployed the Promus Element stent 2.5x38mm at mLAD (Figure 3) and Promus Element 3.0x24mm at pmLAD. Post-stenting adjunctive balloon dilatation with a Dura Star balloon 3.0x20mm was performed (Figure 4). Final angiogram showed that the procedure was successful ( Movie 3). |
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