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Young 43y old male. Early graft failure. CCS III angina. Lima patent. Svg to rca occluded. Svg to diagonal tight stenosis. CTA, Long 105mm cto length with calcification. The proximal cap is ambiguous to me Distal cap at bifurcation. Av cir epicardial collateral. Castle score 4.

FU of the case. What we did. #HDRanalysis #HDR AWE, multiple wire exchanges and multiple HDR.

76y old female. 29mm Evolut Pro. Multiple re-captured. Finally decided to deploy but again dived deep. Pvl. Post dil with 24mm. No pvl. No gradient. LBBB no AVD.