Paclitaxel prevented restenosis in a totally occluded small vessel with in-stent restenosis: a 9-month angiographic follow-up.

ABSTRACT

We present a case of a 57-year-old patient who underwent multiple percutaneous coronary interventions for a lesion at the graft anastomosis to his first obtuse marginal branch. After initial angiographic success with multiple treatment modalities (excluding intravascular brachytherapy because of prior mantle radiation), restenosis or reocclusion eventuated on each occasion. Two paclitaxel-coated stents were implanted in this small vessel with diffuse in-stent restenosis and recurrent total occlusion. Complete patency was documented on a 9-month angiographic follow-up.