Abstract
The unique physical properties of optical coherence tomography (OCT) make it a useful technique in the study of restenosis mechanisms. In fact, OCT is able to differentiate between neointimal proliferation and neoatherosclerosis within the stent. We report a rare case of occlusive neoatherosclerosis presenting beyond one year after a successful drug-eluting stent implantation. The impact of OCT findings in the clinical decision making process is emphasized.
Keywords:
In-stent restenosis; Neoatherosclerosis; Optical coherence tomography.
Copyright © 2016 Elsevier Inc. All rights reserved.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Aged
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Cardiovascular Agents / administration & dosage
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Coronary Angiography
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Coronary Artery Disease / diagnostic imaging
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Coronary Artery Disease / therapy*
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Coronary Occlusion / diagnostic imaging
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Coronary Occlusion / etiology*
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Coronary Occlusion / therapy
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Coronary Restenosis / diagnostic imaging
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Coronary Restenosis / etiology*
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Coronary Restenosis / therapy
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Coronary Vessels / diagnostic imaging*
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Drug-Eluting Stents
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Humans
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Hypolipidemic Agents / therapeutic use*
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Male
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Percutaneous Coronary Intervention / adverse effects
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Percutaneous Coronary Intervention / instrumentation*
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Plaque, Atherosclerotic*
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Retreatment
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Sirolimus / administration & dosage
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Sirolimus / analogs & derivatives
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Stents*
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Time Factors
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Tomography, Optical Coherence
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Treatment Outcome
Substances
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Cardiovascular Agents
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Hypolipidemic Agents
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umirolimus
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Sirolimus