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We retrospectively evaluated the results of PTAS in 31 clients with severe VBS. Stenotic lesions were categorized as soft (based on predilatation stress [PP] ≦ 4 atm) in 15 patients or tough (PP 4 atm) in 16 patients. We examined the connection of SLR to clinical and MR findings. Customers with tough vs smooth lesions had atherosclerosis (8/16 [50.0%] vs 2/15 [13.3%]), dissection (0/16 [0.0%] vs 12/15 [80.0%]), and dissection