An 8 Fr long sheath was inserted through the right femoral artery and the left coronary artery was engaged with a 8 Fr XB 3.5 guiding catheter. 0.014-inch Sion 180 cm wire was inserted into LAD and 0.014-inch Sion 180 cm wire was inserted into LCx. Another 0.014-inch Sion 180 cm wire was inserted into diagonal branch ( Movie 4). Pre-dilation was performed with a FORCE NC 2.75 x 15 mm balloon and a XIENCE Alpine 2.75 x 23 mm was successfully deployed at diagonal branch ( Movie 5). Balloon crushing was performed by using Raiden 3 3.25 x 20 mm at proximal to mid LAD ( Movie 6). Pre-dilation was performed with a FORCE NC 2.75 x 15 mm balloon and A Xience stent 3.5 x 23 mm was deployed at proximal LCX ( Movie 7). The TREK NC balloon 4.0 x 20 mm was used at LM-pLAD. Then, XIENCE Alpine 3.25 x 38 mm and 4.0 x 23 mm were successfully deployed at LM to mid LAD by Crush technique ( Movie 8, Movie 9). And additional NC ballooning was performed by using Raiden 3 3.25 x 20 mm at proximal to mid LAD and TREK NC 4.0 x 20 mm at LM. Re-wiring was performed by 0.014-inch Sion 180cm wire and in-stent balloon was performed by using Emerge 1.5 x 15mm and Euphora 2.0 x 15mm at the diagonal branch. Additional kissing ballooning was performed by using Raiden 3 3.25 X 20 mm at proximal LAD and NC Emergy 2.75 x 20 at the diagonal branch ( Movie 10). Re-wiring was performed by 0.014-inch Sion 180cm wire and in-stent ballooning was performed by using Emerge 1.5 x 15 mm, Euphora 2.0 x 15 mm, and Pantera leo 3.5 x 20 mm at the proximal LCx. Additional kissing ballooning was performed by using NC ROVL 4.0 x 20 mm at LM to proximal LAD and Pantera leo 3.5 x 20 mm at proximal LCx ( Movie 11). The final angiogram ( Movie 12, Movie 13) and IVUS showed successful results.
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