The Return of the Vulnerable Plaque: Optical Coherence Tomography Imaging of a Case of a Late In-Stent Restenotic Chronic Total Occlusion

The Return of the Vulnerable Plaque: Optical Coherence Tomography Imaging of a Case of a Late In-Stent Restenotic Chronic Total Occlusion

Abstract 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 rep...

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Veröffentlicht in:The International journal of angiology 2017-09, Vol.26 (3), p.191-195
Hauptverfasser: Mohar, Dilbahar S., Patel, Pranav M., Grewal, Alisha K., Mohar, Prabhsimran, Kern, Morton J.
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Case Report
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container_end_page 195
container_issue 3
container_start_page 191
container_title The International journal of angiology
container_volume 26
creator Mohar, Dilbahar S.
Patel, Pranav M.
Grewal, Alisha K.
Mohar, Prabhsimran
Kern, Morton J.
description Abstract 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.
doi_str_mv 10.1055/s-0036-1583764
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title The Return of the Vulnerable Plaque: Optical Coherence Tomography Imaging of a Case of a Late In-Stent Restenotic Chronic Total Occlusion
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