Imaging Guided PCI of LM Bifurcation using RA and Mini-Crush Technique 

Case and Plan:
79-year-old morbidly obese male presented with unstable angina & negative troponin. A Cardiac Cath on March 29, 2024 @ OSH revealed calcified 3 V + LM CAD: 80% distal LM bifurcation with additional 70-80% lesions in LAD and LCx, subtotal proximal RCA and totally occluded mid RCA with SYNTAX score of 42 and LVEF 55%. CABG was recommended, but strongly declined by the patient. Patient is now planned for imaging guided PCI of LM bifurcation and additional lesions using rotational atherectomy and Mini-Crush technique.