The commandments of SVG PCI - How I do it? Use guides with good support/backup - Multipurpose, amplatz, grafts guides (avoid Judkins right guide). Use ‘stealth bomber approach” - Wire gently with soft tip wires and find path, use moderate support wires - Do not move extra support wires backwards and forwards too much. Pre-treat - Prevent slow flow. For large bulky thrombus - IC Reopro; thrombectomy devices. Predilate - Small balloon, feel the lesion compliance and pressure; in case of fuzzy, shaggy, ulcerated, thrombotic lesion, there is no need to predilate.