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T1 Age 5 16 73-year-old T2 Sex 17 23 female T3 History 32 66 history of coronary artery disease T4 History 71 85 situs inversus T5 Sign_symptom 126 134 weakness E1 Sign_symptom:T5 T6 Detailed_description 117 125 exercise T7 Biological_structure 108 116 left arm R1 MODIFY Arg1:T7 Arg2:E1 R2 MODIFY Arg1:T6 Arg2:E1 T8 Diagnostic_procedure 140 168 magnetic resonance angiogram E2 Diagnostic_procedure:T8 T9 Diagnostic_procedure 173 192 computer tomography E3 Diagnostic_procedure:T9 T10 Biological_structure 200 218 upper limb vessels R3 MODIFY Arg1:T10 Arg2:E3 R4 MODIFY Arg1:T10 Arg2:E2 T11 Sign_symptom 235 243 stenosis E4 Sign_symptom:T11 T12 Severity 226 234 critical R5 MODIFY Arg1:T12 Arg2:E4 T13 Biological_structure 251 264 left-side SCA #1 AnnotatorNotes T13 Superior cerebellar artery R6 MODIFY Arg1:T13 Arg2:E4 T14 Sign_symptom 270 283 calcification E5 Sign_symptom:T14 T15 Biological_structure 293 300 orifice R7 MODIFY Arg1:T15 Arg2:E5 T16 Therapeutic_procedure 323 340 revascularization E6 Therapeutic_procedure:T16 T17 Detailed_description 310 322 Percutaneous R8 MODIFY Arg1:T17 Arg2:E6 T18 Detailed_description 354 383 right femoral artery approach R9 MODIFY Arg1:T18 Arg2:E6 T19 Sign_symptom 405 413 stenosis E7 Sign_symptom:T19 T20 Biological_structure 396 404 left SCA T21 Severity 389 395 severe R10 MODIFY Arg1:T20 Arg2:E7 R11 MODIFY Arg1:T21 Arg2:E7 T22 Therapeutic_procedure 482 490 stenting E8 Therapeutic_procedure:T22 T23 Biological_structure 498 506 left SCA R12 MODIFY Arg1:T23 Arg2:E8 T24 Detailed_description 475 481 Direct R13 MODIFY Arg1:T24 Arg2:E8 T25 Detailed_description 530 574 balloon-expansible Express LD 10×25 mm stent R14 MODIFY Arg1:T25 Arg2:E8 T26 Lab_value 639 667 8 atmospheres for 13 seconds R15 MODIFY Arg1:T26 Arg2:E8 T27 Severity 678 684 severe T28 Sign_symptom 685 704 shortness of breath E9 Sign_symptom:T28 T29 Sign_symptom 709 720 hypotension E10 Sign_symptom:T29 T30 Coreference 737 745 stenting E11 Coreference:T30 R16 IDENTICAL Arg1:E11 Arg2:E8 T31 Diagnostic_procedure 751 765 blood pressure E12 Diagnostic_procedure:T31 T32 Lab_value 778 783 88/56 R17 MODIFY Arg1:T32 Arg2:E12 T33 Diagnostic_procedure 793 803 heart rate E13 Diagnostic_procedure:T33 T34 Lab_value 814 816 90 R18 MODIFY Arg1:T34 Arg2:E13 T35 Diagnostic_procedure 822 839 oxygen saturation E14 Diagnostic_procedure:T35 T36 Lab_value 852 855 74% R19 MODIFY Arg1:T36 Arg2:E14 T37 Therapeutic_procedure 866 876 intubation E15 Therapeutic_procedure:T37 T38 Therapeutic_procedure 878 892 fluid infusion E16 Therapeutic_procedure:T38 T39 Detailed_description 857 865 Emergent R20 MODIFY Arg1:T39 Arg2:E15 T40 Medication 894 909 inotropic agent E17 Medication:T40 T41 Medication 915 929 norepinephrine E18 Medication:T41 T42 Diagnostic_procedure 956 967 angiography E19 Diagnostic_procedure:T42 T43 Detailed_description 946 955 immediate R21 MODIFY Arg1:T43 Arg2:E19 T44 Sign_symptom 975 995 vascular perforation E20 Sign_symptom:T44 T45 Biological_structure 1003 1030 stented segment of left SCA R22 MODIFY Arg1:T45 Arg2:E20 T46 Therapeutic_procedure 1088 1105 balloon inflation E21 Therapeutic_procedure:T46 T47 Biological_structure 1106 1122 within the stent R23 MODIFY Arg1:T47 Arg2:E21 T48 Detailed_description 1140 1155 8×40 mm balloon R24 MODIFY Arg1:T48 Arg2:E21 T49 Clinical_event 1193 1202 consulted E22 Clinical_event:T49 T50 Nonbiological_location 1161 1183 cardiovascular surgeon R25 MODIFY Arg1:T50 Arg2:E22 T51 Therapeutic_procedure 1254 1276 endovascular treatment E23 Therapeutic_procedure:T51 A1 POLARITY E23 UNCERTAIN T52 Sign_symptom 2974 2982 symptoms E24 Sign_symptom:T52 A2 POLARITY E24 NEG T53 Duration 2987 2997 six months E25 Duration:T53 T54 Clinical_event 2921 2931 discharged E26 Clinical_event:T54 T55 Therapeutic_procedure 1311 1330 retrograde approach E27 Therapeutic_procedure:T55 T56 Biological_structure 1343 1363 left brachial artery T57 Detailed_description 1364 1384 by surgical cut-down R26 MODIFY Arg1:T56 Arg2:E27 R27 MODIFY Arg1:T57 Arg2:E27 R28 SUB_PROCEDURE Arg1:E27 Arg2:E23 T58 Therapeutic_procedure 1814 1836 perforation was sealed E28 Therapeutic_procedure:T58 T59 Therapeutic_procedure 1751 1762 graft stent E29 Therapeutic_procedure:T59 R29 SUB_PROCEDURE Arg1:E29 Arg2:E23 R30 SUB_PROCEDURE Arg1:E28 Arg2:E23 T60 Diagnostic_procedure 1900 1904 flow E30 Diagnostic_procedure:T60 T61 Lab_value 1895 1899 slow R31 MODIFY Arg1:T61 Arg2:E30 T62 Biological_structure 1908 1934 left common carotid artery T63 Biological_structure 1936 1940 LCCA R32 IDENTICAL Arg1:T63 Arg2:T62 R33 MODIFY Arg1:T62 Arg2:E30 T64 Diagnostic_procedure 1957 1968 angiography E31 Diagnostic_procedure:T64 T65 Sign_symptom 1994 2003 occlusion E32 Sign_symptom:T65 T66 Biological_structure 2011 2015 LCCA R34 MODIFY Arg1:T66 Arg2:E32 T67 Severity 1983 1993 near total R35 MODIFY Arg1:T67 Arg2:E32 T68 Detailed_description 1501 1524 Endurant II graft stent R36 MODIFY Arg1:T68 Arg2:E29 T69 Area 1525 1533 10×82 mm R37 MODIFY Arg1:T69 Arg2:T68 T70 Detailed_description 1535 1572 Medtronic, Inc., Minneapolis, MN, USA R38 MODIFY Arg1:T70 Arg2:T68 T71 Detailed_description 1486 1500 self-expanding R39 MODIFY Arg1:T71 Arg2:T68 T72 Detailed_description 1446 1482 modified and cut the iliac extension R40 MODIFY Arg1:T72 Arg2:T68 T73 Detailed_description 1670 1682 around 30 mm R41 MODIFY Arg1:T73 Arg2:T72 T74 Detailed_description 2017 2048 occluded by the SCA graft stent R42 MODIFY Arg1:T74 Arg2:E32 T75 Therapeutic_procedure 2232 2249 balloon dilations E33 Therapeutic_procedure:T75 T76 Therapeutic_procedure 2098 2107 firm wire E34 Therapeutic_procedure:T76 T77 Detailed_description 2164 2172 advanced T78 Biological_structure 2173 2196 outside the graft stent T79 Biological_structure 2210 2214 LCCA R43 MODIFY Arg1:T77 Arg2:E34 R44 MODIFY Arg1:T78 Arg2:E34 R45 MODIFY Arg1:T79 Arg2:E34 T80 Diagnostic_procedure 2279 2283 flow E35 Diagnostic_procedure:T80 T81 Biological_structure 2257 2273 bifurcation site R46 MODIFY Arg1:T81 Arg2:E33 T82 Biological_structure 2291 2295 LCCA R47 MODIFY Arg1:T82 Arg2:E35 T83 Lab_value 2306 2310 poor R48 MODIFY Arg1:T83 Arg2:E35 T84 Diagnostic_procedure 2326 2336 ultrasound E36 Diagnostic_procedure:T84 T85 Detailed_description 2312 2325 Intravascular R49 MODIFY Arg1:T85 Arg2:E36 T86 Sign_symptom 2363 2373 compromise E37 Sign_symptom:T86 T87 Severity 2356 2362 severe R50 MODIFY Arg1:T87 Arg2:E37 T88 Biological_structure 2381 2392 LCCA ostium R51 MODIFY Arg1:T88 Arg2:E37 T89 Detailed_description 2403 2428 caused by the graft stent R52 MODIFY Arg1:T89 Arg2:E37 T90 Therapeutic_procedure 2478 2491 carotid stent E38 Therapeutic_procedure:T90 T91 Detailed_description 2493 2508 Express 7×37 mm R53 MODIFY Arg1:T91 Arg2:E38 T92 Detailed_description 2459 2477 balloon-expansible R54 MODIFY Arg1:T92 Arg2:E38 T93 Detailed_description 2510 2539 Boston Scientific Corporation R55 MODIFY Arg1:T93 Arg2:T91 T94 Biological_structure 2542 2555 from the LCCA T95 Biological_structure 2563 2590 left brachiocephalic artery R56 MODIFY Arg1:T94 Arg2:E38 R57 MODIFY Arg1:T95 Arg2:E38 T96 Diagnostic_procedure 2601 2614 TIMI III flow E39 Diagnostic_procedure:T96 T97 Biological_structure 2622 2626 LCCA R58 MODIFY Arg1:T97 Arg2:E39 T98 Lab_value 2631 2639 restored R59 MODIFY Arg1:T98 Arg2:E39 T99 Diagnostic_procedure 2718 2728 ultrasound E40 Diagnostic_procedure:T99 T100 Detailed_description 2704 2717 Intravascular R60 MODIFY Arg1:T100 Arg2:E40 T101 Sign_symptom 2751 2760 expansion E41 Sign_symptom:T101 T102 Lab_value 2744 2750 proper R61 MODIFY Arg1:T102 Arg2:E41 T103 Biological_structure 2768 2778 LCCA stent R62 MODIFY Arg1:T103 Arg2:E41 T104 Clinical_event 2793 2802 follow-up E42 Clinical_event:T104 T105 Biological_structure 2803 2808 chest T106 Diagnostic_procedure 2809 2820 radiography E43 Diagnostic_procedure:T106 R63 MODIFY Arg1:T105 Arg2:E43 T107 Sign_symptom 2840 2850 hemothorax E44 Sign_symptom:T107 T108 Detailed_description 2830 2839 left-side R64 MODIFY Arg1:T108 Arg2:E44 R65 BEFORE Arg1:E1 Arg2:E2 * OVERLAP E2 E3 E4 E6 E7 E8 T109 Detailed_description 576 622 Boston Scientific Corporation, Natick, MA, USA R66 MODIFY Arg1:T109 Arg2:T25 R67 MODIFY Arg1:T27 Arg2:E9 R68 MODIFY Arg1:T27 Arg2:E10 R69 BEFORE Arg1:E8 Arg2:E9 * OVERLAP E9 E10 E12 E13 E14 R70 BEFORE Arg1:E14 Arg2:E15 * OVERLAP E15 E16 E17 E18 E19 E20 E21 R71 BEFORE Arg1:E21 Arg2:E22 R72 BEFORE Arg1:E22 Arg2:E23 R73 BEFORE Arg1:E23 Arg2:E30 * OVERLAP E30 E31 E32 R74 BEFORE Arg1:E32 Arg2:E34 * OVERLAP E34 E33 R75 BEFORE Arg1:E33 Arg2:E35 * OVERLAP E35 E36 E37 R76 BEFORE Arg1:E37 Arg2:E38 R77 BEFORE Arg1:E38 Arg2:E39 * OVERLAP E39 E40 E41 R78 BEFORE Arg1:E41 Arg2:E42 * OVERLAP E42 E43 E44 T110 Therapeutic_procedure 2858 2873 thoracocentesis E45 Therapeutic_procedure:T110 T111 Detailed_description 2879 2887 drainage R79 MODIFY Arg1:T111 Arg2:E45 T112 Therapeutic_procedure 2892 2903 proper care E46 Therapeutic_procedure:T112 R80 BEFORE Arg1:E44 Arg2:E45 * OVERLAP E45 E46 R81 BEFORE Arg1:E46 Arg2:E26 R82 BEFORE Arg1:E26 Arg2:E24 * OVERLAP E24 E25