CASE & Plan:
54-year-old male presented with CCS Class I angina and CTA revealed high Ca+ score and 2V CAD with +CT FFR. A Cardiac Cath on January 6, 2023 revealed 2 V CAD: 70% ostial and 80% mid LAD, 80% D1 bifurcation, subtotal LCx-OM2 with normal systolic LV function and SYNTAX Score of 25. Patient underwent successful intervention of LCx-OM2 using PTCA and Promus DES and did well. Patient is now planned for imaging guided staged PCI of LAD/D1 bifurcation using RotaTripsy and Mini-Crush stenting.