Subclavian Impella 5.0 to the rescue in a non-ST elevation myocardial infarction patient requiring unprotected left main rotablation: A case report

Figure 4 After a stormy procedure a good angiographic and intravenous ultrasound result was obtained. A: Support issues despite use of guideliner leading on to stent dismounting off its balloon undeployed after it got trapped on a calcific bend; B: Localised small perforation/dissection at the distal left main; C: Extreme left circumflex tortuosity causing deformation of Choice PT XS coronary wire and balloon trapping on the wire; D: Spider view and intravenous ultrasound in distal left main stem showing good stent expansion and apposition; E: LAO cranial view showing good final left main stem Culotte result.