Abstract
The plaque rigidity is an important factor that can complicate proper deployment of coronary stents, consequently increasing the risk of stent thrombosis and Restenosis. While aggressive balloon dilation carries the risk of coronary dissections. Thus, pretreatment of calcific lesions by different modalities of equipments is mandatory to facilitate adequate angioplasty. Here in this case report I utilized the regular balloons with wires to open very tough lesion undilatable with regular PTCA balloons in a step wise technique.
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