Thani Khalid Bin, Bennett William E, Ravandi Amir, Tsimikas Sotirios
Interventional Cardiology and Cardiovascular Catheterization Lab, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA, USA.
J Cardiol Cases. 2011 May 4;4(1):e13-e15. doi: 10.1016/j.jccase.2011.03.008. eCollection 2011 Aug.
We present the case of a 58-year-old male with coronary artery disease and a significant stenosis of the left circumflex artery that was preceded by a coronary aneurysm. The stenosis and aneurysm were treated successfully with a coronary stent graft. The patient subsequently developed in-stent restenosis (ISR). The ISR was then successfully treated with a paclitaxel-eluting stent (PES). The patient has been followed clinically for 4-6 years without recurrence of his anginal symptoms. This is the first description in the literature of which we are aware of the successful treatment of an ISR of a coronary stent graft with a PES with persistent long-term clinical effectiveness.
我们报告了一例58岁男性患者，患有冠状动脉疾病，左旋支动脉存在严重狭窄，且之前有冠状动脉瘤。该狭窄和动脉瘤通过冠状动脉支架移植物成功治疗。患者随后发生了支架内再狭窄（ISR）。然后用紫杉醇洗脱支架（PES）成功治疗了ISR。该患者已接受临床随访4至6年，心绞痛症状未复发。据我们所知，这是文献中首次描述用PES成功治疗冠状动脉支架移植物的ISR并具有持续长期临床疗效。
