title: [In-stent-stenosis of a bare-metal stent 11 years after its implantation].
abstract: METHODS
  A 52-year-old man was admitted to our hospital with unstable angina pectoris. A balloon angioplasty of his left anterior descending artery had been performed 12 years ago and two bare-metal stents had been implanted two months later for an early restenosis.
  
  
  METHODS
  Bicycle ergometry was stopped because the patient experienced angina pectoris and the electrocardiogram showed ST-segment depression in leads V4-V6.
  
  
  RESULTS
  A coronary angiography was performed and a single-vessel disease with a significant in-stent stenosis of the proximal left anterior descending artery was diagnosed. Another successful percutaneous coronary intervention was performed with implantation of a drug-eluting stent. The further hospital course was uneventful.
  
  
  CONCLUSIONS
  Even after more than 11 years an in-stent stenosis of a bare-metal stent can occur without progression of coronary artery disease in the other coronary arteries.
authors.affiliation: Herzzentrum, Kardiologie, Klinikum Ludwigshafen. skarlos@gmx.de
authors.forename: A C
authors.initials: AC
authors.lastname: Skarlos
authors.forename: R
authors.initials: R
authors.lastname: Zahn
authors.forename: U
authors.initials: U
authors.lastname: Zeymer
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis / Q000209:etiology*; D054855:Drug-Eluting Stents; D004868:Equipment Failure; D005080:Exercise Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D019233:Retreatment; D015607:Stents