This live case from Dresden, Germany illustrates a conservative approach to lesion preparation with noncompliant and cutting balloons and treatment with a drug-coated balloon and stent. The patient is a 79-year-old male who experienced an NSTEMI during hip replacement revision. The operators at the Heart Center in Germany are Norman Mangner, MD, and Axel Linke, MD. Seth Bilazarian, MD, with panelists Florim Cuculi, MD, and Jan Belohlavek, MD, provide commentary. Dr. Cuculi emphasizes the importance of Impella® in this case, stating that hemodynamic support, “allowed them to really treat this patient the way we should treat patients.”