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OCT-guided management of calcified left anterior descending (LAD). (A,B) Pre-percutaneous coronary intervention (PCI) assessment showed a heavily calcified LAD with a calcium arc >180°, a calcium thickness of 0.58 mm, and a length of >5 mm resulting in a calcium score of 4. (C) Fractures in the calcium after modification with intravascular lithotripsy (IVL). (D,E) Post-PCI assessment showed 83% stent expansion, no edge dissection, and a well-apposed stent.
