Coronary artery bypass grafting following in-stent restenosis of drug-eluting stents deployed in the left main coronary artery. |
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Authors: | Shinji Kanemitsu Keizo Tanaka Jin Tanaka Hitoshi Suzuki Toshihiko Kinoshita |
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Institution: | Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan. skanemitsu70@yahoo.co.jp |
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Abstract: | Two cases of drug-eluting stent restenosis after percutaneous coronary intervention in the left main coronary artery and its bifurcation are presented. An off-pump coronary artery bypass grafting following in-stent restenosis was performed. Drug-eluting stents have shown a reduced frequency of in-stent restenosis and a good safety profile compared with bare metal stents. However, intervention with drug-eluting stents for left main coronary artery disease should be undertaken with care. It is also important to note that preoperative anti-platelet drug administration can increase the risk of major bleeding during and after emergent surgery. |
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