intervension in heavily calcified small calibre vessels.

75-year-old male. CCS III.
heavily calcified diffusely diseased small calibre vessels.
ivus wasn't crossed.
rotablation 1.25mm burr.
culotte stenting for LAD/D1.
JSBKT for LMS,LAD, LCX.
1.5mm balloon used for JSBKT.
the goal was to keep lcx open.
ivus pull back at end.
timi III flow.

[@sridharasuthan213]

Excellent results ..I have three queries
1.Whats the stent size used for LAD and diagonal for cullote ,and for LM
2.what’s the abbreviation for JSBKT
3.So in LAD ,three stent layer in the overlapping segment of culotte stenting and LM to LAD Stent ??

[@drimranhanifhashmi5442]

1- 2.5z38 lad, 2.5 x28 diagonal., 3.0x38 lms to lad.
2- JSBKT, jailed semi inflated balloon kissing tech.
3- not. The culotte was short. The side branch stent was more inside the MB. The MB stent was just short. Lms stent overlapes with one stent kayer evident by IVUS.