Pannel: Coronary angiography at baseline showing a totally occluded right coronary artery (RCA) which supplied collateral to the distal vessel (A). After advancing a CrossBoss device to the subintimal space, a Stingray system (arrow in the magnified view) was used to re-enter in the true lumen (B). Four Xience drug eluting stents were deployed in the RCA with excellent final result (C). At 8 months follow-up the stents were patent; however strut fracture and lumen ectasia was noted at the mid segment of the stents segment (D, E and magnified panel F). Optical coherence tomographic imaging confirmed the angiographic findings demonstrating strut facture (indicated by the absence of struts – panel 2) at the re-entry site (panel 3).