Successful rotational atherectomies for calcified left main stenosis with distal aneurysms in the elderly

Abstract In complex calcified LM lesions, RA is an effective and safe alternative for resolving stenosis. As a plaque modifier, RA can allow an optimal stent deployment. Nevertheless, in limited availability of intravascular imaging, well‐preparedness against incidental angiography findings is mandatory. Distal aneurysm is not a contraindication provided that the team has the necessary experience.