Percutaneous coronary intervention (PCI) for significant left main coronary artery (LMCA) stenosis is increasingly being viewed as a viable alternative to coronary artery bypass grafting (CABG). CABG is the treatment option for LMCA lesions that has the highest evidence level in guideline recommendations. PCI  for significant  LMCA stenosis is increasingly being viewed as a viable alternative to CABG. In the recent era, optical coherence tomography (OCT) imaging, with its high spatial resolution, has emerged as a useful tool for planning PCI and optimizing stent deployment, particularly in patients with complex lesions.

Nevertheless, the reports of OCT-guided PCI in LMCA are very limited. Here, we present a case of frequency-domain OCT-guided stenting in patients with complex LMCA lesions, performed at our institute. Optical Coherence Tomography (OCT) visualize the coronary artery from…