Sirolimus-eluting stent for in-stent restenosis of left main coronary artery in Takayasu arteritis
Sirolimus-eluting stent for in-stent restenosis of left main coronary artery in Takayasu arteritis
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DOI：
10.1253/circj.69.752
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发表时间：
2005-06-01
影响因子：
3.3
通讯作者：
Kimura, T
中科院分区：
文献类型：
--
作者：
Furukawa, Y;Tamura, T;Kimura, T
一名53岁的女性大动脉炎入院，因为恶化劳力性心绞痛。冠状动脉造影显示左主干（LMCA）开口狭窄90%，也涉及相对较短的LMCA分叉。由于患者拒绝冠状动脉搭桥手术，她接受了经皮冠状动脉介入治疗（PCI），狭窄成功扩张。然而，劳力性心绞痛在几个月后复发，并在第二次PCI后再次复发。最后，在支架内再狭窄病变中展开西罗莫司洗脱支架。患者在最后一次PCI后6个月无心绞痛，随访冠状动脉造影显示LMCA无再狭窄。
A 53-year-old woman with Takayasu arteritis was admitted to hospital because of worsening exertional angina. Coronary angiography revealed 90% ostial stenosis in the left main coronary artery (LMCA), which also involved the bifurcation of the relatively short LMCA. Because the patient refused coronary bypass surgery, she underwent percutaneous coronary intervention (PCI) and the stenosis was successfully dilated. However, the exertional angina recurred a few months later and again after the second PCI. Finally, a sirolimus-eluting stent was deployed in the in-stent restenotic lesion. The patient has been free from angina pectoris for 6 months after the last PCI and follow-up coronary angiography indicated no restenosis in the LMCA.