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(A) Engagement of LMCA ostium with 6 F EBU 3.5 guide catheter to address long mid segment CTO of LAD artery. (B) Failure of 1.25×12 mm balloon to cross the lesion after insertion of Gaia 2 guidewire followed by navigation of 2.1 F Tornus catheter. (C) A 2×12 mm balloon in diagonal artery acts as an anchor. (D) Final result after deployment of 2 overlapping DES.
CTO = chronic total occlusion; DES = drug-eluting stent; LAD = left anterior descending; LMCA = left main coronary artery.
