50 y old female pt had pci to LAD at OSH a year ago.
now came with effort angio. CAG at OSH instent cto of LAD.
cabg refused.
blunt proximal cap with calcification. distal cap at bifurcation.
MC with pilot 50 to approach and probe the lesion.
gaia 2nd failed to penetrate then switched to CP 12. crossed in diagonal exchanged with workhorse wire.
again MC with pilot used to cross in lad. pilot 200 crossed in. pre dilation with nc. stenting of lad followed by post dilation and KBI.
timi III flow achieved.

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