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Late in-stent restenosis of the abdominal aorta in a patient with Takayasu’s arteritis and related pathology

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Abstract

This report describes an in-stent restenosis of the infrarenal aorta in a patient with Takayasu’s arteritis in a nonactive state. A 10-mm-diameter Wallstent had been deployed 42 months previously. The stented restenosed segment was replaced by a surgical graft. His-topathological examination of the excised aortic segment showed a thin layer of fibrocellular neointima and massive organized and calcified thrombus. To our knowledge, this is the first histopatho-logical report of a late in-stent restenosis of the abdominal aorta in Takayasu’s arteritis.

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References

  1. Vorwerk D, Gunther RW, Bohndorf K, Keulers P (1991) Stent placement for failed angioplasty of aortic stenoses: Report of two cases. Cardiovasc Intervent Radiol 14:316–319

    Article  PubMed  CAS  Google Scholar 

  2. Diethrich EB, Santiago O, Gustafson G, Heuser RR (1993) Preliminary observations on the use of the Palmaz stent in the distal portion of the abdominal aorta. Am Heart J 125:490–501

    Article  PubMed  CAS  Google Scholar 

  3. Ballard JL, Taylor FC, Sparks SR, Killeen JD (1995) Stenting without thrombolysis for aortoiliac occlusive disease: Experience in 14 high-risk patients. Ann Vase Surg 9:453–458

    Article  CAS  Google Scholar 

  4. Maynar M, Lobrano ME, Bok L (1996) Percutaneous treatment of aortoiliac atherosclerosis: A case report. J La State Med Soc 148:24–27

    PubMed  CAS  Google Scholar 

  5. Long AL, Gaux JC, Raynaud AC, Faintuch JM, Pagny JY, Lacombe P, Fiessinger JN, Relland JY, Beyssen BM (1993) Infrarenal aortic stents: Initial clinical experience and angiographic follow-up. Cardiovasc Intervent Radiol 16:203–208

    Article  PubMed  CAS  Google Scholar 

  6. White RA, Donayre CE, Walot I, Kopchok GE, Wilson EP, Buwalda R, de Virgilio C, Ayres B, Zalewski M, Mehringer CM (1996) Preliminary clinical outcome and imaging criterion for endovascular prosthesis development in high-risk patients who have aortoiliac and traumatic arterial lesions. J Vase Surg 24:556–571

    Article  CAS  Google Scholar 

  7. Rogers C, Edelman ER (1995) Endovascular stent design dictates experimental restenosis and thrombosis. Circulation 91:2995–3001

    PubMed  CAS  Google Scholar 

  8. Chen Y-H, Chen Y-L, Lin S-J, Chou C-Y, Mar G-Y, Chang M-S, Wang S-P (1997) Electron microscopic studies of phenotypic modulation of smooth muscle cells in coronary arteries of patients with unstable angina pectoris and postangioplasty restenosis. Circulation 95:1169–1175

    PubMed  CAS  Google Scholar 

  9. Glagov S (1994) Intimal hyperplasia, vascular modeling, and the restenosis problem. Circulation 89:2888–2891

    PubMed  CAS  Google Scholar 

  10. Gibbons GH, Dzau VJ (1994) The emerging concept of vascular remodeling. N Engl J Med 330:1431–1438

    Article  PubMed  CAS  Google Scholar 

  11. Anderson PG, Bajaj RK, Baxley WA, Roubin GS (1992) Vascular pathology of balloon-expandable flexible coil stent in humans. J Am Coll Cardiol 19:372–381

    PubMed  CAS  Google Scholar 

  12. Kearney M, Pieczek A, Haley L, Losordo DW, Andres V, Schainfeld R, Rosenfield K, Isner JM (1997) Histopathology of in-stent restenosis in patients with peripheral artery disease. Circulation 95:1998–2002

    PubMed  CAS  Google Scholar 

  13. Ueda M, Becker AE, Naruko T, Kojima A (1995) Smooth muscle cell de-differentiation is a fundamental change preceding wound healing after percutaneous transluminal coronary angioplasty in humans. Coron Artery Dis 6:71–81

    Article  PubMed  CAS  Google Scholar 

  14. Sutton CS, Oku T, Harasaki H, Kambic HE, Sugita Y, Murabayashi S, Shirey E, Nose Y (1988) Titanium-nickel intravascular endoprosthesis: A 2-year study in dogs. AJR 151:597–601

    PubMed  CAS  Google Scholar 

  15. Schwartz RS, Holmes DR Jr, Topol EJ (1992) The restenosis paradigm revisited: An alternative proposal for cellular mechanisms. J Am Coll Cardiol 20:1284–1293

    Article  PubMed  CAS  Google Scholar 

  16. Serruys PW, Strauss BH, Beatt KJ, Bertrand ME, Peul J, Rickards AF, Meier B, Goy JJ, Vogt P, Kappenberger L, Sigwart U (1991) Angiographic follow-up after placement of a self-expanding coronary artery stent. N Engl J Med 324:13–17

    PubMed  CAS  Google Scholar 

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Ishibashi-Ueda, H., Yutani, C., Kuribayashi, S. et al. Late in-stent restenosis of the abdominal aorta in a patient with Takayasu’s arteritis and related pathology. Cardiovasc Intervent Radiol 22, 333–336 (1999). https://doi.org/10.1007/PL00012248

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