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(A) Severe focal in-stent restenosis on the proximal right coronary artery (asterisk). (B) A large dissection was induced after balloon dilatation of the lesion. The dissection (arrows) extended to the most proximal segment of the vessel. (C) Two rapamycin eluting stents were implanted to treat the in-stent restenosis (distal) and the proximal dissection. Small arrows indicate small persistent residual dissection at the end of the procedure.
