Markedly different tissue types on optical coherence tomography imaging in a patient with multiple lesion drug-eluting stent in-stent restenosis

2016 ◽  
Vol 89 (6) ◽  
pp. E181-E184 ◽  
Author(s):  
Tobias A. Rheude ◽  
Erion Xhepa ◽  
Robert A. Byrne
2012 ◽  
Vol 76 (2) ◽  
pp. 390-398 ◽  
Author(s):  
Shinichiro Miyazaki ◽  
Yoshikazu Hiasa ◽  
Takefumi Takahashi ◽  
Yudai Yano ◽  
Tomoko Minami ◽  
...  

2016 ◽  
Vol 26 (03) ◽  
pp. 191-195
Author(s):  
Pranav Patel ◽  
Alisha Grewal ◽  
Prabhsimran Mohar ◽  
Morton Kern ◽  
Dilbahar Mohar

Although the use of drug-eluting stents (DES) has dramatically decreased the incidence of in-stent restenosis (ISR), concerns regarding the late manifestations of ISR remain. Optical coherence tomography (OCT) imaging provides unique insights into characteristics and patterns of ISR. We report a case of late DES ISR with unusual heterogeneous intracoronary luminal characteristics suggestive of vulnerable atherosclerotic plaque activity by OCT imaging. This case demonstrates that late ISR after DES may involve more than mere neointimal hyperplasia with lesion-associated craters, septae, and neoatherosclerosis. The use of OCT provides novel insights into the mechanisms and potential biology of the late DES ISR.


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