Case and Plan:
81-year female with exertional dyspnea and abnormal coronary CTA for 2VD. A Cardiac Cath on January 16, 2024 revealed 2 V CAD: 80% prox LCx, 95% calcified distal LCx, 90-95% multiple calcified nodule in mid RCA with normal systolic LV function and SYNTAX Score of 12. Patient underwent successful intervention of proximal and distal LCx using Rota + 2 Promus Elite DES. Patient is now planned for staged comples PCI or mid RCA calcific nodule using stepped burr RotoTripsy approach.