Late in-stent restenosis of a saphenous vein graft treated with high-pressure balloon dilatation and drug eluting balloon dilatation

  • In the modern interventional treatment of degenerated saphenous vein grafts, the use of both bare metal and drug eluting stents have been described so far. Drug eluting balloons have been increasingly used in cases of in-stent restenosis and to some extent de novo stenosis of native coronary vessels. Based on pure logic approach, the use of drug eluting balloons in in-stent restenosis of the saphenous vein graft may be of great interest. Still, few high-quality data on this subject exist and no general recommendations can be made. This paper illustrates a typical case of a symptomatic late in-stent restenosis of a saphenous vein graft occurred 15 months after a percutaneous coronary intervention with implantation of two drug eluting stents. Intravascular ultrasound revealed a mixture of stent underexpansion and severe neointima. This was treated safely with a prolonged high pressure balloon dilatation followed by dilatation with a drug eluting balloon. The primary result was very good. During the intervention the patient remained asymptomatic and was discharged the next day on dual anti-platelet therapy. During the 10-month follow-up the patient remained asymptomatic. This case demonstrates the usefulness and clinical safety of drug eluting balloons in treating in-stent restenosis in the saphenous vein grafts.

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Author:Marek M. RogowskiORCiDGND, Kaffer KaraGND
Parent Title (English):SN comprehensive clinical medicine
Subtitle (English):case report
Publisher:Springer International Publishing
Place of publication:Cham
Document Type:Article
Date of Publication (online):2024/02/23
Date of first Publication:2024/01/13
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:Case report; In-stent restenosis; Intravascular ultrasound; Saphenous vein graft
Issue:Article 10
First Page:10-1
Last Page:10-5
Dieser Beitrag ist auf Grund des DEAL-Springer-Vertrages frei zugänglich.
Institutes/Facilities:Agaplesion Klinikum Hagen, Klinik für Kardiologie
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
Licence (English):License LogoCreative Commons - CC BY 4.0 - Attribution 4.0 International