1. Optical Coherence Tomography-Guided Bioresorbable Vascular Scaffold Implantation With Orbital Atherectomy for Calcified Chronic Total Occlusion

    Optical Coherence Tomography-Guided Bioresorbable Vascular Scaffold Implantation With Orbital Atherectomy for Calcified Chronic Total Occlusion

    A 67-year-old male with a past history of hypertension, diabetes, and dyslipidemia complained of neck and jaw pain after walking. Stress myocardial perfusion imaging showed ischemia in the left anterior descending artery (LAD) area. Coronary angiography at an outside hospital revealed a severely calcified chronic total occlusion of the proximal LAD with collateral flow from the right coronary artery. He was referred for revascularization of the LAD. Bilateral femoral access was obtained to perform simultaneous angiography of the left and right coronary artery systems (Figure 1). A 6 French VL3.5 guide was engaged in the left coronary artery. An ...

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