Rotational Atherectomy-Assisted Crossing of a Complex Right Coronary Artery Lesion Using the Retrograde Approach

Figure 1

(a) Coronary angiogram of the LCA showing a severe bifurcation lesion involving the proximal LAD and LCX. (b) RCA angiogram shows a proximal CTO with a diffusely calcified vessel. There is a broken guide wire tip in the mid portion of the RCA from the previously failed PCI attempt.