A 8Fr sheath was inserted thorough right femoral artery and, left coronary artery was engaged with a 8 Fr JL 4 guiding catheter. 0.014-inch BMW 190 cm wire was inserted into LAD and 0.014-inch BMW 190 cm wire was inserted into LCX. Without predilation, XIENCE Alpine 3.0 x 28 mm was successfully deployed at proximal LCX and XIENCE Alpine 3.5 x 23 mm was successfully deployed at LM to proximal LAD by Crush technique ( Movie 1, Movie 2). And additional NC balloon was performed by using NC TREK 4.0 x 15 mm at LM and Emerge NC 3.0 X 20 mm at LCX. Additional kissing ballooning was performed by using Emerge NC 3.0 x 20 mm at proximal LCX and NC TREK 4.0 x 15 mm at LM to proximal LAD ( Movie 3). And additional NC balloon was performed by NC TREK 4.0 x 15 mm at LM os for optimization. Final angiogram and IVUS showed that the procedure was successful (Figure 3, Figure 4).
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