Helge Alexy, MD, an interventional cardiologist in Bremen, Germany, presents the case of an active 94-year-old male he chose to treat with Protected PCI. In addition to his age, the patient had an ejection fraction of 35%, left main stenosis, severe 3-vessel disease, symptomatic acute coronary syndrome and beginning stages of cardiogenic shock. Dr. Alexy explains why he felt this patient should be treated with Protected PCI and describes his evaluation of this patient, his treatment plan and the details of the Protected PCI procedure, which involved bifurcation stenting.