Stenting the stent: Alternative strategy for treating in-stent restenosis

Several approaches have been taken to relieve restenosis inside a vascular stent. In a patient with a complicated history of coronary artery disease, a restenotic lesion inside a Gianturco-Roubin flex stent was relieved by angioplasty and deployment of three 10 mm Palmer P-104 ''biliary'' stents, with urokinase and verapamil used to prevent thromboembolism end the no-reflow phenomenon. An angiographic study 6 months later showed a patent graft with no residual stenosis. (C) 1996 Wiley-Liss, Inc.