Post-stenting image study

Image in interventional cardiovascular medicine: what is displayed in this image? ... And do not hesitate to comment on how you would treat this case!

A 60-year-old male was admitted for inferior STEMI. The occlusion was successfully wired and treated with direct stenting, but there were difficulties in advancing a non-compliant balloon. IVUS was then used to investigate the reason for this challenge.

An image is worth a 1,000 words: tell us what you see in this image!

Author

HUANG Pang-Shuo (1)

1. National Taiwan University Hospital, Taipei City, TAIWAN