Vasileios Panoulas, MD, Jonathan Hill, MD, and Sian-Tsung Tan, MD, present this live case from Harefield Hospital in London with commentary from Seth Bilazarian, MD, and Jerzy Sacha, MD. This Protected PCI case entails high-resolution optical coherence tomography (OCT) imaging, Shockwave intravascular lithotripsy (IVL), drug-coated balloons, and stenting. Dr. Hill states, “we’ve had really the luxury enabled by Impella of doing a really high precision PCI in a complex patient.”