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Gain invaluable insights into a challenging Percutaneous Coronary Intervention (PCI) case, with a live patient case study. In part 1 we provide a thorough review of a complex patient presentation and an in-depth exploration of vascular access techniques essential for successful PCI procedures. The case features a patient with a significant history of coronary artery disease, including prior interventions. Current symptoms and angiographic imaging findings are analyzed to illustrate the complexity of the coronary lesions. Detailed comparisons between radial and femoral vascular access approaches are provided, with critical factors influencing site selection highlighted for practical application. Watch a step-by-step demonstration of vascular sheath insertion, including expert tips to minimize complications and enhance procedural efficiency. This comprehensive guide serves as a vital resource for refining your skills in vascular access techniques. Stay tuned for the next video, where we tackle lesion crossing and stent deployment to complete this advanced PCI case study. Subscribe for more detailed interventional cardiology tutorials. ©2025 Boston Scientific Corporation or its affiliates. All rights reserved. All trademarks are the property of their respective owners. Prior to use, please see the complete “Directions for Use” for more information on Indications, Contraindications, Warnings, Precautions, Adverse Events, and Operator’s Instructions at www.IFU-BSCI.com. Rx only. IC-320602-AA | CRM-2110407-AA Chapters: 0:00 - Patient Overview 0:42 - Initial Plan for Treatment 1:29 - Primary Target: Calcified OM Lesion 1:36 - Decision to Use ROTABLATOR 2:41 - Reevaluation of the Lesion and Treatment Plan 3:00 - Decision to Treat Proximal Lesion