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Case Reports in Cardiology
Volume 2014, Article ID 893143, 3 pages
http://dx.doi.org/10.1155/2014/893143
Case Report

In-Stent Ulceration: An Unusual Pathology

1Department of Cardiology, Michigan State University, East Lansing, MI 48824, USA
2Department of Cardiology, Borgess Medical Center, 804 Service Road A205, Kalamazoo, MI 49048, USA

Received 15 November 2013; Accepted 19 January 2014; Published 4 March 2014

Academic Editors: A. Movahed and D. Richter

Copyright © 2014 Jagadeesh Kumar Kalavakunta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In-stent restenosis occurs in 10–60% of cases undergoing interventional therapy. Many mechanisms explain the reason for in-stent restenosis, but restenosis due to an ulcerated plaque is very rare and has not been well reported in the literature. We report an interesting case of 72-year-old man presenting with neurological symptoms secondary to in-stent restenosis of the carotid artery caused by an ulcerated plaque. We also explain the different mechanisms for restenosis along with the treatment options.