85-year-old male patient with dyslipidemia, obesity and high BMI, presenting grade III angina CCS and breathlessness (NYHA I). Coronary angiography showed diffused calcified lesions on distal Left Main in proximal LAD between septal and diagonal. Watch the step-by-step approached “Modern PCI”, with IVUS assessment and plaque modification with rotational atherectomy, live from Hôpital privé Jacques Cartier – Massy, France.

82-year-old male patient with hypertension, diabetes mellitus (2019) and hypercholesterolemia, presenting reduced clinical condition, dyspnea & angina pectoris during mild exertion. Baseline angiography: severely calcified and tortuous RCA, severely calcified unprotected distal Left Main disease and calcified mid LAD. Watch the step-by-step approached “Modern PCI”, with IVUS guidance PCI with OPTICROSS™ Cathether and plaque modification with rotational atherectomy, ROTAPRO™, left main to LCX using ROTAWIRE™ Drive combined with WOLVERINE™. Live from MediClin Heart Center – Lahr, Germany.

50-year-old male patient with hypertension and dyslipidemia, presenting with effort angina since few months with a triple vessel disease, long and diffuse stenosis of LAD, focal and diffuse stenosis of CDx and diffuse stenosis of CX. Watch the step-by-step approach of "modern PCI", through IVUS guidance and plaque modification, live from Humanitas Hospital , Italy.

71-year-old male patient with hypertension and history of CABG in 2007, presented with crescendo angina over 2 months. Severe calcified stenosis on proximal and distal RCA, severe stenosis in PL. Watch the step-by-step approach of "modern PCI", through IVUS guidance and plaque modification, from Sunninghill and Sunward Hospital, South Africa.

67-year-old female patient with chronic kidney disease, presenting with stable angina and lateral wall ischemia 20 years after undergoing CABG surgery for 3-vessel disease, with a residual severely calcified distal left main stenosis. Watch the step-by-step approach of "modern PCI", through IVUS guidance and plaque modification, live from Bad Krozingen, Germany.

74-year-old male patient, presenting with 12 months history of angina (CCS 2), breathlessness (NYHA3), also reported bilateral claudication. Angiography showed severe calcified disease in proximal LAD, LCx, Int and RCA. Watch the step-by-step approached “modern PCI”, with IVUS assessment and plaque modification with rotational atherectomy, live from Cardiff.

72 year-old male patient, presenting with de novo angina CCS 1, preserved LVEF, who was found to have a Medina 0-1-1 mid-LAD calcified bifurcation lesion. Watch the proctoring of “modern PCI”, with IVUS assessment and plaque modification with rotational atherectomy, live from Toulouse.

An 80-year-old frail patient s/p TAVR presenting for scheduled PCI of a severely calcified RCA. After failure to cross the distal lesion with 2 different microcatheters, are there still options for PCI?

An 80-year-old frail patient s/p TAVR presenting for scheduled PCI of a severely calcified RCA. After failure to cross the distal lesion with 2 different microcatheters, are there still options for PCI?

77 male. ACS in DEC 2020. LAD treated by rotablation and PCI at that time. Normal LV. Impaired renal function. Returning for completion of revascularisation to treat a dominant RCA. Short functional aorto-ostial occlusion with calcium, plus collaterals and competitive flow in the distal RCA from the left system

A 53 old gentleman, with calcified LM bifurcation disease, multiple risk factors & very high operator risk

A 69 year old gentleman with heavily calcified LAD and diffuse calcific stenosis in LAD.