Late regression of Cypher in-stent restenosis

Hiroshi Yamaguchi1, Junichiro Takaoka, Akihiro Miyamura

  • 1Division of Cardiology, Tenyoukai Central Hospital, Kagoshima city, Kagoshima, Japan. hyamaguchi@tenyoukai.org

Insights

Late restenosis after sirolimus-eluting stent placement can present as a "black hole" lesion. Intravascular ultrasound revealed echolucent tissue causing this unusual appearance in a late regression case.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Sirolimus-eluting stents (SES) are used to prevent restenosis after percutaneous coronary intervention.
  • Late restenosis, occurring months to years after stent implantation, is a recognized complication.
  • The imaging appearance of late SES restenosis can be variable.

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