title: A case of in-stent neointimal plaque rupture 10 years after bare metal stent implantation: intravascular ultrasound and optical coherence tomographic findings.
abstract: Neointimal hyperplasia mainly develops within several months of coronary stent deployment, after which it stabilizes. Although it was widely accepted, particularly during the bare-metal stent (BMS) era, that in-stent restenosis (ISR) generally does not present as an acute coronary syndrome (ACS), but rather as a gradual recurrence of angina symptoms, recent data have shown that a substantial number of patients with ISR present as ACS. There has also been consistent postmortem evidence of plaque rupture secondary to atherosclerotic change within the neointima of a BMS. We report here a case of ACS in which intravascular ultrasound and optical coherent tomographic assessments revealed neointimal atherosclerotic change and ruptured plaque 10 years after BMS deployment.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
authors.forename: Hyuck-Jun
authors.initials: HJ
authors.lastname: Yoon
authors.forename: Seung-Ho
authors.initials: SH
authors.lastname: Hur
authors.forename: Shin-Keun
authors.initials: SK
authors.lastname: Kim
authors.forename: Hyungseop
authors.initials: H
authors.lastname: Kim
authors.forename: Hyoung-Seob
authors.initials: HS
authors.lastname: Park
authors.forename: Yun-Kyeong
authors.initials: YK
authors.lastname: Cho
authors.forename: Chang-Wook
authors.initials: CW
authors.lastname: Nam
authors.forename: Yoon-Nyun
authors.initials: YN
authors.lastname: Kim
authors.forename: Kwon-Bae
authors.initials: KB
authors.lastname: Kim