Author/Authors :
Mowakeaa, Samer Department of Cardiology - University of Massachusetts Medical School, Worcester, USA , Iskandar, Aline Department of Cardiology - University of Massachusetts Medical School, Worcester, USA , Kakouros, Nikolaos Department of Cardiology - University of Massachusetts Medical School, Worcester, USA
Abstract :
Bare metal stents (BMS) continue to be widely used in patients with coronary artery disease undergoing percutaneous
revascularization. Progressive luminal renarrowing has been reported late after BMS implantation resulting in a significant rate
of stent failure events. We present a case of very late BMS failure due to in-stent restenosis where optical coherence tomography
(OCT) was used to demonstrate neoatherosclerosis as the underlying mechanism. We provide a brief review of neoatherosclerosis
and showcase salient features on OCT evaluation.