Stenting the stent: alternative strategy for treating in-stent restenosis.
Several approaches have been taken to relieve restenosis inside a vascular stent. In a patient with a complicated history of coronary artery disease, a restenotic lesion inside a Gianturco-Roubin flex stent was relieved by angioplasty and deployment of three 10 mm Palmaz P-104 "biliary" stents, with urokinase and verapamil used to prevent thromboembolism and the no-reflow phenomenon. An angiographic study 6 months later showed a patient graft with no residual stenosis.
Ceceña
F A
FA
Charles A. Barrow Heart Lung Center, St. Luke's Medical Center, Phoenix, Arizona, USA.
D000328:Adult; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000601:surgery; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D012008:Recurrence; D012086:Reoperation; D015607:Stents; D018084:Ultrasonography, Interventional