Specials: Rotablation Through Stent Accordion

A 52-year-old man presented with NSTEMI. He had diabetes mellitus, hypertension, dyslipidemia, prior tobacco, and heavy alcohol use. He had a past history of CAD with CABG 3 years ago with LIMA to LAD, SVG to first diagonal, SVG to OM1, SVG to circumflex, and SVG to RCA. His LVEF was 35%. Coronary angiography showed severe native three-vessel disease, patent LIMA graft to the LAD, occluded SVGs to the OM1, RCA, and circumflex and severe stenosis in the SVG to the diagonal (Fig. 25.1, Videos 25.1 and 25.2) We proceed to intervene on the SVG-diagonal lesion.