A Case of In-Stent Neointimal Plaque Rupture 10 Years After Bare Metal Stent Implantation: Intravascular Ultrasound and Optical Coherence Tomographic Findings.
10.4070/kcj.2011.41.11.671
- Author:
Hyuck Jun YOON
1
;
Seung Ho HUR
;
Shin Keun KIM
;
Hyungseop KIM
;
Hyoung Seob PARK
;
Yun Kyeong CHO
;
Chang Wook NAM
;
Yoon Nyun KIM
;
Kwon Bae KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea. shur@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Coronary restenosis;
Stents;
Neointima;
Ultrasonography;
Tomography
- MeSH:
Acute Coronary Syndrome;
Coronary Restenosis;
Humans;
Hyperplasia;
Neointima;
Recurrence;
Rupture;
Stents
- From:Korean Circulation Journal
2011;41(11):671-673
- CountryRepublic of Korea
- Language:English
-
Abstract:
Neointimal hyperplasia mainly develops within several months of coronary stent deployment, after which it stabilizes. Although it was widely accepted, particularly during the bare-metal stent (BMS) era, that in-stent restenosis (ISR) generally does not present as an acute coronary syndrome (ACS), but rather as a gradual recurrence of angina symptoms, recent data have shown that a substantial number of patients with ISR present as ACS. There has also been consistent postmortem evidence of plaque rupture secondary to atherosclerotic change within the neointima of a BMS. We report here a case of ACS in which intravascular ultrasound and optical coherent tomographic assessments revealed neointimal atherosclerotic change and ruptured plaque 10 years after BMS deployment.
