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Impending coronary perforation after cutting balloon angioplasty
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Cutting balloon angioplasty was used to treat an in-stent restenotic lesion. Intravascular ultrasound (IVUS) revealed profound dissection (below left, arrows), and deep vessel wall injury reaching the adventitia with haematoma formation (below left, club). After intravascular ultrasound, angiography revealed minor extravasation …