Circular heavily calcified "Full Moon" plaques relevance for CTO-PCI remains unclear. This case shows a patient with double "Full Moon" plaques-CTO. Cardiac tomography identified these lesions and allowed to provide adequate debulking equipment. "Full Moon" plaques could predict CTO-PCI complexity. CT can identify these lesions and help planning CTO-PCI for increasing success rates.
Keywords: chronic total occlusions; complex PCI; computed tomography; coronary imaging; full‐moon calcifications; rotational atherectomy.
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