Subintimal wire position during angioplasty of a chronic total coronary occlusion: Detection and subsequent procedural guidance by intravascular ultrasound

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Abstract
We report a case of intravascular ultrasound (IVUS) imaging of a chronic total coronary artery occlusion angioplasty initially complicated by subintimal wire penetration. IVUS provided unique images of wire position and a “double‐barrel” lumen that complemented angiographic data in initial diagnosis and in subsequent guidance of the procedure.