Recalcitrant in-stent restenosis of the celiac trunk treated by drug-eluting stent

Catheter Cardiovasc Interv. 2008 Nov 15;72(6):873-6. doi: 10.1002/ccd.21724.

Abstract

Stent implantation is an alternative, safe, and reliable strategy for the treatment of chronic mesenteric ischemia, especially for patients at high surgical risk. However, in-stent restenosis (the Achille's hill of bare metal stent) may occur in up to 20% of cases at 6 months and 53% at 1 year. We describe a case of celiac trunk stenosis treated by bare metal stent complicated by recalcitrant in-stent restenosis and treated by paclitaxel-eluting stent implantation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon / adverse effects
  • Angioplasty, Balloon / instrumentation*
  • Arterial Occlusive Diseases / complications
  • Arterial Occlusive Diseases / pathology
  • Arterial Occlusive Diseases / therapy*
  • Cardiovascular Agents / administration & dosage*
  • Celiac Artery* / pathology
  • Chronic Disease
  • Constriction, Pathologic
  • Drug-Eluting Stents*
  • Female
  • Humans
  • Ischemia / etiology
  • Ischemia / therapy
  • Magnetic Resonance Angiography
  • Mesenteric Vascular Occlusion / complications
  • Mesenteric Vascular Occlusion / pathology
  • Mesenteric Vascular Occlusion / therapy*
  • Metals
  • Paclitaxel / administration & dosage*
  • Prosthesis Design
  • Recurrence
  • Stents*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Cardiovascular Agents
  • Metals
  • Paclitaxel