Ryoji Nagoshi et al. JCIN 2016;9:e107-e109

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Ryoji Nagoshi et al. JCIN 2016;9:e107-e109 3D Reconstructed Image After Implanting a Xience Alpine Stent A 3D image was reconstructed after implanting a Xience Alpine stent (2.5 × 23 mm) into the LAD. The stent link was located at the middle of the carina, making it difficult to remove the jailed strut by KBI. (A) The first attempt to cross the GW to the Dx shows the GW crossing into the distal cell. (B) The second attempt shows the GW crossing into the proximal cell. (C) A final 3D image pullback from the LAD shows no jailed strut at the Dx orifice. (D) 3D image pullback from the Dx shows good apposition between the jailed strut inverted toward the Dx at the carina and the inverted strut. (E) “Flythrough” view of the pullback from Dx shows the jailed strut inverted toward the Dx. See Online Video 1. 3D = three-dimensional; Dx = diagonal branch; GW = guide wire; KBI = kissing balloon inflation; LAD = left anterior descending artery. Ryoji Nagoshi et al. JCIN 2016;9:e107-e109 American College of Cardiology Foundation