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Neth Heart J. 2015 May;23(5):287-8. doi: 10.1007/s12471-015-0680-y.

Neoatherosclerosis causing edge in-stent restenosis: optical coherence tomography findings.

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation

F Alfonso, J Restrepo, J Cuesta, T Bastante, F Rivero, A Benedicto

Affiliations

  1. Cardiac Department, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria, IIS-IP, Universidad Autónoma de Madrid, c/ Diego de León 62, 28006, Madrid, Spain, [email protected].

PMID: 25911014 PMCID: PMC4409593 DOI: 10.1007/s12471-015-0680-y

Abstract

A patient presenting with 'edge' in-stent restenosis 12 years after the implantation of a bare-metal stent in the mid-left anterior descending coronary artery is described. Optical coherence tomography disclosed the presence of ruptured neoatherosclerosis at the stent edge. The value of this imaging technique to unravel this unique underlying anatomic substrate is discussed. The therapy of choice for patients presenting with edge in-stent restenosis (ISR) is reviewed.

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