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Case Reports in Cardiology
Volume 2016 (2016), Article ID 1652065, 3 pages
Case Report

Neoatherosclerosis in Very Late Stenosis of Bare Metal Stent by Optical Coherence Tomography

Department of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA

Received 29 October 2015; Accepted 28 February 2016

Academic Editor: Aiden Abidov

Copyright © 2016 Samer Mowakeaa 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.


Bare metal stents (BMS) continue to be widely used in patients with coronary artery disease undergoing percutaneous revascularization. Progressive luminal renarrowing has been reported late after BMS implantation resulting in a significant rate of stent failure events. We present a case of very late BMS failure due to in-stent restenosis where optical coherence tomography (OCT) was used to demonstrate neoatherosclerosis as the underlying mechanism. We provide a brief review of neoatherosclerosis and showcase salient features on OCT evaluation.