A patient with ostial/proximal and distal RCA lesions was referred for PCI. Engagement caused pressure dampening requiring intermittent disengagement. The distal lesion was treated first. The distal anchor technique facilitated balloon and stent delivery, and was repeated for advancing a 2nd stent to the mid RCA. The proximal RCA was stented with slight stent protrusion into the aorta. After flaring the ostium with an Ostial Flash balloon an excellent final result was achieved as confirmed by IVUS.
