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Case Reports in Vascular Medicine
Volume 2015, Article ID 157623, 4 pages
http://dx.doi.org/10.1155/2015/157623
Case Report

Unusual Response of Subclavian In-Stent Restenosis to Balloon Angioplasty in a Patient with HIV

Louisiana State University, 1501 King Highway, Shreveport, LA 71130, USA

Received 23 August 2014; Accepted 25 December 2014

Academic Editor: Antonio Silvestro

Copyright © 2015 Mohammad Atif Rana 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

Human Immunodeficiency Virus (HIV) infection and use of protease inhibitors have been associated with accelerated atherosclerosis. Increased rates of coronary in-stent restenosis are reported in these patients. There is limited data available on peripheral vascular disease interventions on these patients. Herein we report an aggressive subclavian in-stent restenosis with an unexpected response to balloon angioplasty treatment with a large, mobile tissue flap formation and its treatment with another stent.