Eluting stents: An effective, promising solution?

Cristina Giglioli, Massimo Margheri, Serafina Valente, Marco Comeglio, Tania Chechi, Roberto Becherini, Chiara Lazzeri, Gian Franco Gensini

Research output: Contribution to journalArticle

Abstract

Recent studies with eluting stents showed encouraging results in preventing in-stent restenosis. We report a case of a patient in whom the implantation of carbon-coated and eluting stents in two different vessels was associated with different angiographic results. A diabetic hypertensive 67-year-old woman with an acute inferior myocardial infarction underwent direct coronary angioplasty on the right coronary artery with the implantation of two carboncoated stents. In view of the severity of an additional lesion of the left anterior descending coronary artery and diabetes, coronary angioplasty and stenting with an eluting stent was performed in this vessel. Five months later the patient presented with acute pulmonary edema and an increase in troponin I levels. A new coronary angiography showed a long subtotal in-stent restenosis of the right coronary artery, whereas the left anterior descending coronary artery was normal. Our case report suggests that eluting stents should be considered a precious and effective tool in preventing in-stent restenosis.

Original languageEnglish
Pages (from-to)470-474
Number of pages5
JournalItalian Heart Journal
Volume5
Issue number6
Publication statusPublished - Jun 2004

Keywords

  • Angioplasty
  • Myocardial infarction
  • Primary
  • Restenosis
  • Stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Giglioli, C., Margheri, M., Valente, S., Comeglio, M., Chechi, T., Becherini, R., Lazzeri, C., & Gensini, G. F. (2004). Eluting stents: An effective, promising solution? Italian Heart Journal, 5(6), 470-474.