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Updated: Aug 31, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
Published on: May 14, 2013
[Repeated coronary angioplasty due to restenosis and disease progression - a case report]
Tamara Parczewska1, Tomasz Wysoczański, Krzysztof Wrabec
1Oddział Kardiologiczny Wojewódzkiego Szpitala Specjalistycznego, Wrocław, Poland.
Insights
This case study details a patient with coronary artery disease (CAD) who experienced recurrent angina despite multiple percutaneous coronary interventions, including stenting for dissection and restenosis. It highlights the complexities of managing complex CAD cases.
Area of Science:
- Cardiology
- Interventional Cardiology
Background:
- A 71-year-old male presented with exercise-induced angina and two-vessel coronary artery disease (CAD).
- Initial treatment involved successful angioplasty with stent implantation in the circumflex artery, providing temporary relief.
Observation:
- The patient later underwent angioplasty of the left anterior descending (LAD) artery, complicated by dissection requiring dual stent implantation.
- Recurrent angina developed three months post-procedure, necessitating repeat coronary angiography.
Findings:
- Coronary angiography revealed in-stent restenosis in the LAD.
- Repeat angioplasty yielded good angiographic results but did not resolve the patient's angina.
Implications:
- This case underscores the challenges in managing complex coronary artery disease and in-stent restenosis.
- It prompts a discussion on current ACC/AHA guidelines for percutaneous coronary interventions in intricate CAD scenarios.
Abstract:
We present a case of a 71-year-old male with exercise angina and two-vessel coronary artery disease (CAD). As the first step of treatment, the patient underwent successful coronary angioplasty with a stent implantation in the circumflex artery and remained free from angina for the following month. After this period, the patient underwent elective angioplasty of left anterior descending (LAD) coronary artery which was complicated by dissection, requiring implantation of two stents. Because of recurrent angina the patient underwent three months later another coronary angiography which revealed in-stent restenosis in LAD. The patient underwent repeated angioplasty with a good angiographic results, however, without cessation of angina Clinical and angiographic indications for percutaneous coronary interventions, according to the recent ACC/AHA guidelines, are discussed.
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