case_images: PMC6131400_01
case_images: ECG ad admission showing 1-2 mm STE on leads V1-V5.
case_images: CCR-14-213_F1.jpg
case_images: PMC6131400_01_CCR-14-213_F1.jpg
case_images: F1
case_images: His ECG (Fig. 1) showed significant ST-segment elevation in the antero-apical precordial leads.
case_images: Coronary angiography RAO 15 CR30 showing calcific subtotal mid LAD occlusion.
case_images: CCR-14-213_F2.jpg
case_images: PMC6131400_01_CCR-14-213_F2.jpg
case_images: F2
case_images: Diagnostic coronary angiography demonstrated a heavily calcified subtotal occlusion in the mid portion of the left anterior descending coronary artery (LAD) (Fig. 2).
case_images: Coronary angiography RAO 15 CR30 showing Rotablation in mid LAD using 1.25 mm Burr.
case_images: CCR-14-213_F3.jpg
case_images: PMC6131400_01_CCR-14-213_F3.jpg
case_images: F3
case_images: Floppy (Boston Scientific, USA). For RA runs were performed using a 1.25 burr at 150,000 rpm for 15-20 seconds (Fig. 3).
case_images: Coronary angiography RAO 30 CR30 showing excellent angiographic results after stenting with 2 DES and repeated post dilatation with non-compliant balloon.
case_images: CCR-14-213_F4.jpg
case_images: PMC6131400_01_CCR-14-213_F4.jpg
case_images: F4
case_images: Abbott Vascular, USA and 3.0 x 36 mm Biomatrix Alpha (Biosensors, Singapore). After severaly postdilations with a 3.0 x 15 mm non-compliant ballon (Quantum NC, Boston Scientific, USA) final angiography showed an excellent result with TIMI 3 Flow (Fig. 4).