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J Am Coll Cardiol, 2005; 46:1002-1005, doi:10.1016/j.jacc.2005.05.068 (Published online 20 September 2005).
© 2005 by the American College of Cardiology Foundation
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Late Incomplete Stent Apposition After Sirolimus-Eluting Stent Implantation

A Serial Intravascular Ultrasound Analysis

Junya Ako, MD*, Yoshihiro Morino, MD*, Yasuhiro Honda, MD, FACC*, Ali Hassan, MD*, Shinjo Sonoda, MD, PhD*, Paul G. Yock, MD, FACC*, Martin B. Leon, MD, FACC{dagger}, Jeffrey W. Moses, MD, FACC{dagger}, Heidi N. Bonneau, RN, MS{ddagger} and Peter J. Fitzgerald, MD, PhD, FACC*,*

* Center for Research in Cardiovascular Interventions, Stanford University Medical Center, Stanford, California
{dagger} Lenox Hill Hospital, New York, New York
{ddagger} Highlands Consulting Inc., San Jose, California.



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Figure 1 Intravascular ultrasound images of sirolimus-eluting stents with late incomplete stent apposition (A) after stent implantation and (B) at eight-month follow-up. The stent was well apposed to the vessel wall at the time of implantation.

 


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Figure 2 Longitudinal images showing late incomplete stent apposition after sirolimus-eluting stent implantation: (A) after stent implantation; (B) at eight-month follow-up. Detachment of the vessel wall (arrows) from stent strut (dotted lines) was observed in the mid portion of the stent and in the relatively normal side of the vessel wall.

 





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