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Intravascular Ultrasound-Detected Intimal Flap Predicts Acute Diagonal Branch Occlusion After Drug-Eluting Stent Implantation

Tatsuo Yokomine, MD
Yuito Enokida, MD
Takashi Kajiya, MD
Tatsuro Takei, MD
Toshiko Ninomiya, MD
Nobuhiko Atsuchi, MD, PhD
Mitsuru Ohishi, MD, PhD
08/27/2025

Video 1. Post-stent intravascular ultrasound pullback from the LAD showing intimal flap and hematoma at the ostium of diagonal branch. LAD = left anterior descending artery. 

Video 2. Intravascular ultrasound pullback from the diagonal branch during repeat percutaneous coronary intervention demonstrating a large hematoma. LAD = left anterior descending artery. 

© 2025 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of the Journal of Invasive Cardiology or HMP Global, their employees, and affiliates. 
 


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