90% LM stenosis | Figure 1

90% LM stenosis

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highly calcified mid-RCA lesion (hard to tell but it's within a previously placed stent) We are going to attempt to Rota-Blate the lesion. Will post, post pictures when we are done.

Indeed! It is a thrombotic occlusion of a previous stented circunflex artery that offers collateral circulation to a chronically occluded RCA.

The left main is MIA....

what coronary artery is affected? How worried would you be about this patient?

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