As the proximal stump was visible, we planned to undergo antegrade approach. A 7F sheath was inserted through right femoral artery, and the right coronary artery was engaged with a 7 Fr AL1 SH guiding catheter. 0.014-inch 1.8 Fr 180cm FINECROSS micro-guide catheter with NEO¡¯s(Fielder XT) 0.014-inch 190cm wire was inserted into the RCA. Luckily, wire tip penetrated the proximal cap smoothly, and reached to the distal cap safely. FINECROSS was delivered and Fielder XT was exchanged into BMW 0.014-inch 300cm. Predilatation was performed with Maverick 1.5 x 20mm balloon and BH PLUS 2.5 x 20 balloon. Xience Xpedition 3.5 x 33 mm was successfully deployed at pRCA (Figure 1, Figure 2, Figure 3). The following coronary angiogram showed well expanded stents at pRCA with good distal run-off flow without any complication ( Movie 4).
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