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Abstract

Placement of stiff guidewires through tortuous coronary arteries allows smooth advancement of stents during coronary intervention. However, the straightening of coronary vessels leads to a mechanical alteration and induces vessel wall shortening. The transient effect of such coronary pseudo-stenosis is referred as "accordion phenomenon". This case described the accordion phenomenon after placement of a stiff guidewire through a tortuous right coronary artery leading to acute total occlusion with ST elevation during coronary intervention.

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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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