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Management of Stent Fracture in Ostial Right Coronary Artery

Introduction

Video supplement to “Intracoronary Imaging of a Synergy Megatron Stent Fracture in Ostial Right Coronary Artery,” by González D'Gregorio et al. (August 2021 Clinical Images).

The Synergy Megatron stent confers enhanced axial and radial forces, which makes it an ideal choice for ostial and calcified lesions, as in the case herein. However, in this case, the stent fractured. The following angiography and optical coherence tomography images demonstrate the diagnosis and treatment of this complication. This case suggests that intracoronary imaging is mandatory for anatomy characterization in order to decide treatment and optimize the result.

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