title: Recurrent in-stent restenosis with total occlusion remedied with drug-eluting balloon angioplasty.
abstract: We report a 69 year old female who presented with chest pain to the Emergency Department of the National Heart Institute Malaysia. Her history revealed that she had had 2 separate episodes of chest pain beginning in 2002, resulting in total occlusion of her mid left anterior descending artery (LAD) requiring percutaneous coronary intervention and stenting on both occasions. Cine angiogram on her current admission revealed recurrent target lesion in-stent restenosis with total occlusion of the distal LAD. Intravascular ultrasound revealed multilayered suboptimally deployed stents in the LAD. Successive drug-eluting balloon deployments resulted in sustained patency of the LAD after 1 year.
authors.affiliation: International Islamic University Malaysia, Malaysia.
authors.forename: Shah Mohd Shah
authors.initials: SM
authors.lastname: Azarisman
authors.forename: Mahmood Zulkifli
authors.initials: MZ
authors.lastname: Sabruddin
authors.forename: Mohd Ali
authors.initials: MA
authors.lastname: Rosli
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D023903:Coronary Restenosis / Q000628:therapy*; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D012008:Recurrence; D016896:Treatment Outcome