title: Sirolimus-eluting stent for in-stent restenosis of left main coronary artery in takayasu arteritis.
abstract: A 53-year-old woman with Takayasu arteritis was admitted to hospital because of worsening exertional angina. Coronary angiography revealed 90% ostial stenosis in the left main coronary artery (LMCA), which also involved the bifurcation of the relatively short LMCA. Because the patient refused coronary bypass surgery, she underwent percutaneous coronary intervention (PCI) and the stenosis was successfully dilated. However, the exertional angina recurred a few months later and again after the second PCI. Finally, a sirolimus-eluting stent was deployed in the in-stent restenotic lesion. The patient has been free from angina pectoris for 6 months after the last PCI and follow-up coronary angiography indicated no restenosis in the LMCA.
authors.affiliation: Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan. yutakaf@kuhp.kyoto-u.ac.jp
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Furukawa
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Tamura
authors.forename: Masanao
authors.initials: M
authors.lastname: Toma
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Abe
authors.forename: Naritatsu
authors.initials: N
authors.lastname: Saito
authors.forename: Natsuhiko
authors.initials: N
authors.lastname: Ehara
authors.forename: Ryoji
authors.initials: R
authors.lastname: Taniguchi
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Nakagawa
authors.forename: Toru
authors.initials: T
authors.lastname: Kita
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kimura
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D020123:Sirolimus; D015607:Stents; D013625:Takayasu Arteritis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D020123:Sirolimus