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Late restenosis following placement of a sirolimus eluting stent for in-stent restenosis
Authors:Ali Onn Akbar  Lowe Harry  Kritharides Leonard  Brieger David
Affiliation:Department of Cardiology, Concord Repatriation General Hospital, Concord, NSW, Australia.
Abstract:
Drug eluting stents (DES) are rapidly replacing intravascular brachytherapy for the treatment of bare metal in-stent restenosis (ISR). To date, there are no long-term follow up data supporting this practise. We report symptomatic repeat in-stent restenosis occurring 27 months after sirolimus eluting stent deployment for de novo in-stent restenosis. This case suggests that in a subgroup of patients with ISR, as with brachytherapy, the drug eluting stent may be simply delaying rather than inhibiting the restenotic process.
Keywords:Drug eluting stent   In-stent restenosis
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