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Thrombotic Complication After a Double-Barrel Configuration Percutaneous Coronary Intervention in a Chronic Total Occlusion

Panagiotis Varelas, MD, MSc
Konstantinos Manousopoulos, MD, PhD
Konstantinos Filippou, MD, MSc
Dimitrios Karelas, MD, MSc
Ioannis Papadopoulos, MD
Alexandre Avran, MD
Ioannis Tsiafoutis, MD, PhD
07/11/2025

Video 1. First operation after percutaneous coronary intervention of the chronic total occlusion.

Video 2. First angioplasty after percutaneous coronary intervention of the chronic total occlusion in the right coronary artery.

Video 3. Right coronary artery (RCA) angiography after readmission of the patient due to dyspnea. Note the nimble formation in the proximal RCA.

Video 4. Intravascular ultrasound showing the double-barrel configuration.

Video 5. Intravascular ultrasound run demonstrating thrombus inside the right coronary artery.

Video 6. Angiographic result after direct stenting in the proximal right coronary artery with good angiographic result and Thrombolysis in Myocardial Infarction-III flow.

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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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