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Guidewire Entry Into a Calcific Fracture Causing Stent Underexpansion | Synapse

February 16, 2026JACC Case Reports0 citationsOpen Access

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Guidewire Entry Into a Calcific Fracture Causing Stent Underexpansion

MNMarohito NakataOkinawa Prefectural Chubu Hospital TTT. TabataOkinawa Prefectural Chubu Hospital TCToshiya ChinenOkinawa Prefectural Chubu Hospital

Key Points

The aim is to clarify the intervention strategy for managing stent underexpansion caused by calcific fractures.
Analyzed the relationship between guidewire entry and calcific fractures
Utilized Intravascular Lithotripsy (IVL) during the procedure
Monitored the spatial relationship before stent implantation.
Confirmed the necessity of rewiring in cases of underexpansion
Demonstrated successful mitigation of complications related to stent underexpansion.

Abstract

After IVL, confirm the spatial relationship between the fracture and the guidewire, and rewire before stent implantation when necessary.

Demander à l'IA

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Cite This Study

Nakata et al. (Sun,) studied this question.

synapsesocial.com/papers/6992652ceb1f82dc367a1037 https://doi.org/https://doi.org/10.1016/j.jaccas.2026.106962