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Urgent angiography in a 76-year-old male with acute coronary syndrome revealed calcified tortuous stenosis in the left anterior descending coronary artery (LAD) ( Panel A ). Coronary perforation occurred at the mid-LAD during rotational atherectomy ( Panel B ). Intravascular ultrasound (IVUS) revealed that rotational atherectomy created a false lumen. For the bailout of perforation, a 2.5 × 28 mm everolimus-eluting stent (EES) (Promus Premier, Boston Scientific, Natick, MA, USA) was deployed in the mid-LAD. However, there …

Unintentional extraction of a platinum–chromium everolimus-eluting stent by entanglement with a covered stent