How would you manage this?

Final result after PCI

#radialfirst ;) OMT… A CKD5D patient will not benefit from PCI where you have no possible landing in any healthy era…I see 110% disease :)

Theoretically speaking. AL1.0 7F, Sion Blue to PDA. MC caravel, Rota with 1.5 burr in the crux. Second wire in the PLA and cutting balloon in both branches with the help of a guide extension. No stent only DEB in both branches.

Mannn 👏🏻👏🏻👏🏻👏🏻

Medical management!

Already on it. ACS and chest pain during dialysis sessions

I’ll leave him alone🤷‍♂️

so he is already…

DEB or medical therapy

Femoral access. 7F AL 0.75 or Ikari Left 4. MC and Minamo to wire. Guidezilla. Rota 1.5 to both branches. IVUS guided provisional stent.