Slides
A Case of Late Total Occlusion after Sirolimus-Eluting Stent Implantation
- Operator : Myeong-Ki Hong
A Case of Late Total Occlusion after Sirolimus-Eluting Stent Implantation |
- Operator: Myeong-Ki Hong, MD |
Case presentation |
A 34-year old woman had undergone sirolimus-eluting stent (Cypher, Cordis) implantation for stable angina in June 2003. Her initial coronary angiogram showed diffuse narrowing of the proximal left anterior descending artery (LAD) (Image 1, Image 2). Two 3.5 x 33 mm Cypher stents were successfully implanted to treat the lesion (Image 3, Image 4). She had been symptom-free state thereafter and the 6-month follow-up coronary angiogram in December 2003 showed patent stents in LAD (Image 5, Image 6). But, she was admitted due to recurred angina in July 2005 and the 2-year follow-up coronary angiogram showed total occlusion of the LAD stents (Image 7, Image 8, Image 9). As an antiplatelet regimen, only the aspirin had been administered without combination of clopidogrel. Because the lesion length is too long to be treated with percutaneous intervention, she underwent bypass surgery and has been asymptomatic. |
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