Successive, rapid recurrences of in-stent restenoses in a woman with angina pectoris.
A 62-year-old woman was admitted because of chest pain. Coronary angiography demonstrated stenosis of the left anterior descending coronary artery, where two bare metal stents had been implanted. Over 5 months in-stent restenosis occurred four times, and was treated at first with angioplasty but finally with two sirolimus-eluting stent insertions. Six months after the second insertion, angiography showed restenosis within one stent. The mechanism underlying this succession of rapid restenoses is unknown, but sirolimus-eluting stents appeared to show relative resistance.
Ni
Lan
L
Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Teragawa
Hiroki
H
Ueda
Kentaro
K
Takemoto
Hiroaki
H
Hidaka
Takayuki
T
Nishioka
Kenji
K
Soga
Junko
J
Oda
Noboru
N
Nakano
Yukiko
Y
Shingu
Tetsuji
T
Chayama
Kazuaki
K
D000787:Angina Pectoris / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy*; D023921:Coronary Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D016503:Drug Delivery Systems; D004867:Equipment Design; D005260:Female; D006801:Humans; D015994:Incidence; D008670:Metals; D008875:Middle Aged; D019233:Retreatment; D020123:Sirolimus / Q000008:administration & dosage; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
D008670:Metals; D020123:Sirolimus