Recalcitrant in‐stent restenosis of the celiac trunk treated by drug‐eluting stent

Stent implantation is an alternative, safe, and reliable strategy for the treatment of chronic mesenteric ischemia, especially for patients at high surgical risk. However, in‐stent restenosis (the Achille's hill of bare metal stent) may occur in up to 20% of cases at 6 months and 53% at 1 year. We describe a case of celiac trunk stenosis treated by bare metal stent complicated by recalcitrant in‐stent restenosis and treated by paclitaxel‐eluting stent implantation. © 2008 Wiley‐Liss, Inc.