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Treatment options for recurrent instent restenosis in patients with long and multiple stents include coronary bypass surgery (CABG) with endarterectomy and/or stent removal. A 63-year-old man was referred for percutaneous coronary intervention (PCI). Five years prior to his presentation, he had undergone CABG, after 5 repeated PCIs between 2002 and 2011 with a total of 10 stents to the left anterior descending artery (LAD) due to recurrent restenosis. The operation included an open endarterectomy on the LADand extraction of previously implanted stents to allow for anastomosis.The arteriotomy site, was, then, closed with a saphenous vein patch, and the left ...
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