{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:42:14Z","timestamp":1791391334499,"version":"4.3.3"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T00:00:00Z","timestamp":1765065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Intercoronary communication (ICC) is a rare coronary artery anomaly that can be mistaken for collateral flow in chronic occlusive disease, with implications for procedural planning. We report a 77\u2010year\u2010old woman with 2\u2009h of retrosternal, burning chest pain, ischemic ST\u2010segment depression, negative serial high\u2010sensitivity troponins, and poorly controlled hypertension. Imaging showed coronary calcification and impaired left\u2010ventricular diastolic function. On Day 3, angiography revealed no significant left main disease, diffuse proximal\u2013mid LAD atherosclerosis, and an occluded left circumflex artery (LCx) distal to second obtuse marginal (OM2), alongside severe mid\u2010right coronary artery stenosis. Contrast opacified the left system from the RCA via a large channel consistent with ICC. An antegrade strategy was prioritized while recognizing the ICC as a potential retrograde bailout. After plaque shift via OM2 predilation (1.5\/2.0\u2010mm balloons), intravascular ultrasound (IVUS)\u2010guided stenting (2.75\u2009\u00d7\u200926\u2009mm) required a distal sealing stent (2.5\u2009\u00d7\u200912\u2009mm) for an edge hematoma. With microcatheter support, a Fielder XT wire crossed into the distal LCx, and true\u2010lumen position was confirmed; subsequent dilatation improved flow, but a distal LCx dissection was identified and confirmed by IVUS. A reverse\u2010crush two\u2010stent strategy with final kissing inflations achieved optimal expansion and thrombolysis in myocardial infarction (TIMI) 3 flow. The patient was discharged on dual antiplatelet therapy and remained symptom\u2010free at 1 month. This case underscores the need to differentiate ICC from collaterals and demonstrates an imaging\u2010guided, stepwise strategy for bifurcation lesions when wiring is difficult, and complications such as edge hematoma or dissection arise.<\/jats:p>","DOI":"10.1002\/ccd.70404","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T06:15:53Z","timestamp":1765174553000},"page":"740-745","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Anomalous Intercoronary Communication in the Setting of Chronic Left Circumflex Occlusion"],"prefix":"10.1002","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1328-0972","authenticated-orcid":false,"given":"Qianfeng","family":"Xiong","sequence":"first","affiliation":[{"name":"Department of Cardiology, Fengcheng People's Hospital The Affiliated Fengcheng Hospital of Yichun University Fengcheng Jiangxi province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaoyong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fengcheng People's Hospital The Affiliated Fengcheng Hospital of Yichun University Fengcheng Jiangxi province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fengcheng People's Hospital The Affiliated Fengcheng Hospital of Yichun University Fengcheng Jiangxi province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1114-4769","authenticated-orcid":false,"given":"Yaowu","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Jiangxi Provincial People's Hospital The First Affiliated Hospital of Nanchang Medical College Nanchang Jiangxi province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210110"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.14.5.800"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000016175.49835.57"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000331979504600307"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.2217\/ica.11.31"},{"key":"e_1_2_7_7_1","unstructured":"P.Angelini S.Villason A. 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