A Case of Takayasu Arteritis with Repeated Coronary Artery Restenosis after Drug-Eluting Stent Implantation Successfully Treated with a Combination of Steroids

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概要

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• A 52-year-old woman with Takayasu arteritis developed acute coronary syndrome and received percutaneous coronary intervention (PCI). The patient experienced restenosis three times even with drug-eluting stent (DES) implantation. We started steroid administration after the fourth PCI to reduce inflammation due to autoimmunity. With DES and a steroid combination, the patient remained free of chest pain, and a follow-up angiography demonstrated good patency of the stent site. Since in-stent restenosis may result from a complicated combination of neointimal proliferation and autoimmune mechanisms, physicians should consider a combination of DES and a steroid for the treatment of coronary artery disease in Takayasu arteritis.

著者

• Kario Kazuomi

  Division Of Cardiology Department Of Internal Medicine Jichi Medical University

• Katsuki Takaaki

  Division of Cardiology,Jichi Medical School

• Shimada Kazuyuki

  Division Of Cardiology Department Of Medicine Jichi Medical University

• Shimpo Masahisa

  Division Of Cardiovascular Medicine Jichi Medical University

• OHYA Ken-ichi

  Divisions of Cardiology, Jichi Medical School

• Hirose Masahiro

  Division Of Genetic Therapeutics Center For Molecular Medicine

• Ikemoto Tomokazu

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

• Yokota Katsuaki

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

• Iwata Tomohiko

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

• Hirose Masahiro

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

• Kario Kazuomi

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

• Ohya Ken-ichi

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

• Katsuki Takaaki

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

• Shimpo Masahisa

  Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Japan

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