Fig. 3

A 55-year-old patient treated via ELCA and DCB. a Development of in-stent restenosis chronic total occlusion in the left anterior descending artery. b IVUS showing diffuse hyperplastic tissue in the stent segment. c ELCA conducted with a 1.4 mm catheter. d A 3.0–30 mm DCB deployed in the previous stent. e IVUS demonstrating the presence of mild residual hyperplastic tissue in the stent segment and lumen area. f The final angiography of the artery post-procedure. ELCA = excimer laser coronary atherectomy; IVUS = intravascular ultrasound; DCB = drug-coated balloon