case_images: PMC4631747_01
case_images: ECG at time of admission
case_images: PWKI-11-25716-g001.jpg
case_images: PMC4631747_01_PWKI-11-25716-g001.jpg
case_images: F0001
case_images: The ECG showed an ST-segment elevation in I, aVL and V6-V9 (Figure 1).
case_images: A - Coronary angiogram showed the left anterior descending and left circumflex artery thrombotic mid stent occlusion (white arrow). B - Coronary angiogram showed no residual stenosis and relatively good distal flow in two vessels
case_images: PWKI-11-25716-g002.jpg
case_images: PMC4631747_01_PWKI-11-25716-g002.jpg
case_images: F0002
case_images: Terumo; 16 atm) to postdilate the stent and deployed a 3.0 x 18 mm Firebird stent at 16 atm of pressure to cover the previous stent in LCX, giving a good end result (Figure 2 B). The patient was rehospitalized for heart failure 1 month after discharge.
case_images: A - Coronary angiography showed peri-stent contrast staining at the site of LAD DES (white arrow). B - IVUS showed late stent malapposition in the LAD (white arrow). C - Coronary angiography showed peristent contrast staining at the site of LCX DES (white arrow). D - IVUS showed late stent malapposition in the LCX (white arrow)
case_images: PWKI-11-25716-g003.jpg
case_images: PMC4631747_01_PWKI-11-25716-g003.jpg
case_images: F0003
case_images: Scientific, USA) of the lesions demonstrated late stent malapposition, with positive coronary vessel remodeling around the stent in LAD and LCX (Figure 3). Subsequently, we used a 3.0 x 10 mm balloon (Hiryu,