Excimer laser in contrast for the treatment of acute MI caused by thrombosis of underexpanded stent

Figures

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  Figure 1. (A) final angiogram from initial procedure with underexpanded stent; (B) angiogram on presentation demonstrating occlusion at site of underexpanded stent; (C) underexpanded stent at overlap; (D) 0.9 ELCA; (E) NC balloon; (F) final angiogram with expansion of stent.

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  Figure 2. (A) initial angiogram with TIMI 1 flow and underexpanded stent; (B) underexpanded stent at overlap; (C) 0.9 ELCA with contrast; (D) dilation with NC balloon at high pressure after 0.9 ELCA demonstrates failure to expand; (E) 1.4 ELCA with contrast, catheter did not cross lesion; (F) NC balloon at high pressure post‐ELCA with “waste”; (G) Flextome at 14 atm; (H) Flextome at 24 atm; (I) expansion of stent; (J) final angiogram with TIMI 3 flow and expanded stent.