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Neoatherosclerosis causing edge in-stent restenosis: optical coherence tomography findings

A patient presenting with ‘edge’ in-stent restenosis 12 years after the implantation of a bare-metal stent in the mid-left anterior descending coronary artery is described. Optical coherence tomography disclosed the presence of ruptured neoatherosclerosis at the stent edge. The value of this imaging...

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Detalles Bibliográficos
Autores principales: Alfonso, F., Restrepo, J., Cuesta, J., Bastante, T., Rivero, F., Benedicto, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409593/
https://www.ncbi.nlm.nih.gov/pubmed/25911014
http://dx.doi.org/10.1007/s12471-015-0680-y
Descripción
Sumario:A patient presenting with ‘edge’ in-stent restenosis 12 years after the implantation of a bare-metal stent in the mid-left anterior descending coronary artery is described. Optical coherence tomography disclosed the presence of ruptured neoatherosclerosis at the stent edge. The value of this imaging technique to unravel this unique underlying anatomic substrate is discussed. The therapy of choice for patients presenting with edge in-stent restenosis (ISR) is reviewed.