ROTATRIPSY ASSISTED PCI OF A HEAVILY CALCIFIED MID LAD LESION IN A PATIENT WITH UNSTABLE ANGINA AND REDUCED EJECTION FRACTION

This case report highlights the successful use of rotatripsy a hybrid approach combining rotational atherectomy and intravascular lithotripsy (IVL) for the treatment of a severely calcified mid left anterior descending (LAD) artery lesion in a patient with unstable angina and reduced left ventricular ejection fraction (LVEF). The strategy enabled effective lesion preparation and stent delivery in a setting where traditional balloon angioplasty was likely to fail. This case emphasizes the growing role of advanced calcium modification techniques in complex coronary interventions, particularly in patients with unstable angina and compromised cardiac function.