High complex lesion with severe calcification with present bifurcation.Unable to get turnpike lp to cross, the lp tip fractured and plugged the vessel resulting in cessation of flow, not able to remove.St segments elevated; 1.2 mm balloon able to push through the lesion that pushed the tip of the catheter downstream, after turnpike advanced and the rota wire was exchanged.Several stents were deployed to cover the lesion in its entirety and final angiograms with at timi flow of 3.Pt to cardiovascular icu on a iabp and discontinued the following day and able to recover and able to discharge on day two.
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