Min Chul Kim, Myung Ho Jeong, Doo Sun Sim, Young Joon Hong, Ju Han Kim, and Youngkeun Ahn
Intravascular Ultrasound-Guided Treatment for In-stent Restenosis Associated with Stent Fracture in Overlapped Drug-eluting Stents
Images in Clinical Medicine
A 68-year old female patient visited our hospital due to effort angina 1 month ago. She had a history of hypertension and diabetes mellitus, and underwent 2 instances of percutaneous coronary intervention (PCI) at right coronary artery (RCA). A 3.5×32 mm Taxus®(Boston Scientific, Natick, MA, USA) was implanted for proximal RCA 14 years ago, and 3.5×28 mm Cypher®(Cordis, Hialeah, FL, USA) was implanted for significant in-stent restenosis (ISR) in RCA 8 years ago (Fig. 1A, 1B). Twelve-lead electrocardiography showed sinus bradycardia, and the level of cardiac biomarkers were within normal range. Transthoracic echocardiography showed normal left systolic function without wall motional abnormality.
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