Korean J Med > Volume 76(5); 2009 > Article
The Korean Journal of Medicine 2009;76(5):595-599.
Spontaneous regression of neointimal hyperplasia in a patient who underwent percutaneous coronary intervention with a bare metal stent
Sang Hyun Lee, Hyung Ha Jang, Bo Ran Kwon, Ji Ryang Kim, Jeong Ha Mok, Jin Hyun Park, Han Cheol Lee
금속 스텐트 삽입 후 발생한 스텐트 내 재협착의 자연소실 1예
이상현, 장형하, 권보란, 김지량, 목정하, 박진현, 이한철
Abstract
Many interventional cardiologists rely upon percutaneous coronary intervention (PCI) with drug-eluting stents (DES), but DES may provoke serious complications, such as stent thrombosis and delayed restenosis. Previous studies of bare metal stent placement showed regression of neointimal proliferation after 6 months. Here, we report the case of a 50-year-old man demonstrating spontaneous regression of neointimal hyperplasia after undergoing PCI with a bare metal stent to treat a middle left anterior descending (LAD) artery lesion. Coronary angiography showed 90% diffuse restenosis at 6 months after stent placement, but the patient refused PCI due to monetary concerns. After 29 months, follow-up angiography revealed spontaneous regression of restenosis in the middle LAD.
Key Words: Coronary restenosis; Stents; Coronary angioplasty


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