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Severe intimal hyperplasia after sirolimus eluting stent deployment: evaluation by optical coherence tomography
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A 60-year-old man presented with recurrence of angina and a positive stress test five months following sirolimus-eluting stent deployment to the left anterior descending (LAD) and intermediate (ramus) coronary arteries.
Coronary angiography revealed severe focal in-stent restenosis of both the previously stented arteries (panel A: LAD restenosis marked by arrow). The LAD lesion was pre-dilated …