Intravascular ultrasound is useful for identifying mechanical causes of balloon rupture during coronary interventions, such as protruding calcified ridges.
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IVUS may identify occult causes of recurrent balloon rupture; this case report leaves open routine adoption pending prospective data.
We describe a patient in whom balloon rupture occurred three times during inflation in a stent with restenosis in the left anterior descending artery. The cause of rupture was detected by intravascular ultrasound: a calcified ridge that protruded between the stent struts in the distal stent body. Cathet. Cardiovasc. Intervent. 50:212–214, 2000.
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Gilutz et al. (2000) studied this question.
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