1. Neoatherosclerosis as the Cause of Very Late Bare-metal Stent Restenosis: Optical Coherence Tomography Evaluation

    Neoatherosclerosis as the Cause of Very Late Bare-metal Stent Restenosis: Optical Coherence Tomography Evaluation

    To the Editor, A man aged 49 years, ex-smoker with a family history of premature ischemic heart disease, attended the emergency department after 1 month with clinical symptoms of progressive angina following even minimal exertion. In 2001, he had presented non-Q wave acute myocardial infarction and undergone conventional bare-metal stent (BMS) implantation in the mid left anterior descending artery. In 2007, a coronary angiogram for exertional angina showed no stent restenosis. Following a change in treatment, he remained asymptomatic and recorded negative exercise test results until this admission in 2012. In view of symptoms of unstable angina, a fresh coronary ...

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