Spontaneous regression of neointimal hyperplasia in a patient who underwent percutaneous coronary intervention with a bare metal stent.
- Author:
Sang Hyun LEE
1
;
Hyung Ha JANG
;
Bo Ran KWON
;
Ji Ryang KIM
;
Jeong Ha MOK
;
Jin Hyun PARK
;
Han Cheol LEE
Author Information
1. Divison of Cardiology, Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. glaraone@hanmail.net
- Publication Type:Case Report
- Keywords:
Coronary restenosis;
Stents;
Coronary angioplasty
- MeSH:
Angiography;
Arteries;
Coronary Angiography;
Coronary Restenosis;
Drug-Eluting Stents;
Follow-Up Studies;
Humans;
Hyperplasia;
Middle Aged;
Percutaneous Coronary Intervention;
Stents;
Thrombosis
- From:Korean Journal of Medicine
2009;76(5):595-599
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Many interventional cardiologists rely upon percutaneous coronary intervention (PCI) with drug-eluting stents (DES), but DES may provoke serious complications, such as stent thrombosis and delayed restenosis. Previous studies of bare metal stent placement showed regression of neointimal proliferation after 6 months. Here, we report the case of a 50-year-old man demonstrating spontaneous regression of neointimal hyperplasia after undergoing PCI with a bare metal stent to treat a middle left anterior descending (LAD) artery lesion. Coronary angiography showed 90% diffuse restenosis at 6 months after stent placement, but the patient refused PCI due to monetary concerns. After 29 months, follow-up angiography revealed spontaneous regression of restenosis in the middle LAD.
