MN, a male aged 46, had been suffering from left-sided chest pain which may not be related to exertion. He has a very strong family history of coronary artery disease. He also has a background of high cholesterol, obesity, diet controlled diabetes and he is an ex-smoker. Echocardiogram was performed which showed good left ventricular function. Before the coronary angiogram, he had a CT cardiac angiogram which showed occlusion of the first diagonal from the left anterior descending artery. From this, he was arranged a coronary angiogram through the right radial artery (in the wrist). The left anterior descending artery was catheterised with the Medtronic 6F EBU3.5 Launcher and a Verrata pressure wire was used to measure pressures across the lesions. When the distal diagonal branch was crossed with the Whisper MS wire, the stenosis was predilated with Euphora 2.0mm x 12mm and a drug eluting stent Xience PRO 2.25mm x 15mm was deployed. The interventional treatment was successful.