Document Detail


In-stent restenosis associated with stent malapposition: Seven year optical coherence tomography findings.
MedLine Citation:
PMID:  20227776     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Stent thrombosis and in-stent restenosis remain significant issues in post-coronary angioplasty care despite advances in anti-platelet therapy and stent technology. Angiographic predictors of stent failure have been proposed, but its precise mechanism has been difficult to elucidate on conventional coronary angiography and intravascular ultrasound due to the low resolution of either approach. Optical coherence tomography (OCT) as a high-resolution intracoronary imaging modality has enabled more detailed insight into the interaction between implanted stent and underlying endothelium, the evolution of unstable plaque, and the pathogenesis of late lumen loss, affirming its place as an essential tool in the modern-day cardiac catheterisation laboratory. We present a case of in-stent restenosis seven years after bare-metal stent insertion, the mechanism of which was gross stent malapposition as clearly demonstrated on OCT examination.
Authors:
Maria C Santos; Tina Lin; Peter Barlis
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Publication Detail:
Type:  Journal Article     Date:  2010-03-15
Journal Detail:
Title:  International journal of cardiology     Volume:  147     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  149-51     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Ireland Ltd.
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