Lege Artis Medicinae

[Use of a drug-eluting stent for the treatment of in-stent restenosis of the superior mesenteric artery]

P. SZABÓ Réka1, PÉTER Mózes2, VARGA István3, VAJDA Gusztáv3, HARANGI Mariann1, MÁTYUS János1, BALLA József1

JULY 20, 2012

Lege Artis Medicinae - 2012;22(06-07)

[INTRODUCTION - Diagnosis and treating intestinal ischaemia in time presents a great challenge for clinicians. CASE REPORT - In a 60-year-old woman on dialysis who presented with abdominal angina, angiography revealed stenosis of the superior mesenteric artery, which was treated by implantation of a 6×29 mm Genesis stent. After a year, her symptoms reoccurred and angiography revealed restenosis, which was treated with a 7×34 mm Wallstent, while her previous acetylsalicylic acid treatment was supplemented with clopidrogel. Nevertheless, her abdominal angina reoccurred again after a year. During the next intervention - because of the in-stent restenosis - a Taxus Liberte stent was implanted. During the dual antiplatelet therapy, her abdominal complaints did not reoccur, her body weight increased and angiography did not reveal restenosis in the affected artery even after 4 years. CONCLUSIONS - A drug-eluting stent can be a good choice in case of restenosis of the superior mesenteric artery. In a stented patient, it is crucial to use an appropriately controlled, long-term, dual antiplatelet therapy.]

AFFILIATIONS

  1. Debreceni Orvostudományi Egyetem, Általános Orvosi Kar, Belgyógyászati Intézet
  2. Debreceni Orvostudományi Egyetem, Általános Orvosi Kar, Radiológia Klinika
  3. Debreceni Orvostudományi Egyetem, Általános Orvosi Kar, Kardiológia Intézet

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