Recurrent In-Stent Restenosis Of Drug-Eluting Stents & Its Management: A Report Of Two Cases.
Recurrent ISR with DES
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Rajesh Vijayvergiya
,
Arghadip Bose
,
Lipi Uppal
,
Basant Kumar
,
Bhupendra K Sihag
,
Ankush K Gupta
Abstract
Background: In-stent restenosis (ISR) following percutaneous coronary intervention (PCI) is an unwanted complication in some patients. The etiology is multifactorial, and identifying these factors may help improve long-term outcomes after PCI.
Case summary: We hereby describe two cases of recurrent ISR; case 1 describes the techniques of PCI used over 17 years to manage recurrent ISR of Left Main bifurcation disease, while case 2 highlights the role of coronary artery bypass grafting (CABG) as a treatment modality for recurrent ISR of the right coronary artery.
Discussion: Management of post-PCI recurrent ISR has witnessed multiple advancements over the past decade. Newer technologies like intravascular imaging, plaque or calcium modification techniques, and drug-eluting balloons enable effective management of recurrent ISR. This article describes possible risk factors for recurrent ISR and discusses various treatment strategies for its management.
| Files | ||
| Issue | Articles In Press | |
| Section | Case Report(s) | |
| Keywords | ||
| Drug-eluting stent In-stent restenosis Optical coherence tomography Percutaneous coronary intervention Intravascular ultrasound. | ||
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