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(A) Engagement of LMCA ostium with 6 F XB 3.0 guide catheter to fix long mid segment CTO of LAD. (B) Navigation of Gaia 2 guidewire across the occlusion into distal true lumen. (C) Rotational atherectomy with 1.25 mm burr to facilitate lesion crossing with balloon. (D) Final result after 2 overlapping DES.
CTO = chronic total occlusion; DES = drug-eluting stent; LAD = left anterior descending; LMCA = left main coronary artery.
