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Positive Remodeling, Regression of In-Stent Neointimal Hyperplasia, and Late Stent Malapposition in the Absence of Brachytherapy
Author(s) -
Gary S. Mintz,
Neil J. Weissman,
Chrysoula Pappas,
Ron Waksman
Publication year - 2000
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.102.16.e111
Subject(s) - intravascular ultrasound , medicine , restenosis , stent , interventional cardiology , angioplasty , neointimal hyperplasia , cardiac catheterization , brachytherapy , radiology , cardiac imaging , cardiology , radiation therapy
A 50-year-old white man presented with in-stent restenosis in April 1998. He had undergone angioplasty with stent implantation for a lesion in the right coronary artery in December 1977, when he was 29 years old. At that time, he was enrolled in a placebo-controlled, randomized trial of γ-irradiation to prevent recurrent in-stent restenosis (Washington Radiation In-Stent Restenosis Trial [WRIST]). This included an intravascular ultrasound substudy. After the dwell time and at follow-up, imaging was performed using a 30-MHz single-element, mechanically rotating transducer (SCIMED/Boston …

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