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. 2023 Feb 16;10(1):e002182. doi: 10.1136/openhrt-2022-002182

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© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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Optical coherence tomography showing the results after sequential use of rotational atherectomy (RA) and intravascular lithotripsy (IVL). (A and B) Two separate cross-sectional frames of a heavily calcified lesion treated with RA. The asterisk shows the cavity formed by the pass of the burr. (C and D) cross-sectional frames after the use of a lithotripsy balloon. The arrow indicates the creation of a deep fracture in the body of the calcium deposit.