case_images: PMC6524424_01
case_images: Coronary angiogram in the left anterior oblique caudal view showing in-stent restenosis in the left anterior descending stent
case_images: HV-20-28-g001.jpg
case_images: PMC6524424_01_HV-20-28-g001.jpg
case_images: F1
case_images: He underwent coronary angiography which revealed a diffuse Type II ISR [Figures 1 and 2].
case_images: Coronary angiogram in the right anterior oblique caudal view showing in-stent restenosis in the left anterior descending stent
case_images: HV-20-28-g002.jpg
case_images: PMC6524424_01_HV-20-28-g002.jpg
case_images: F2
case_images: He underwent coronary angiography which revealed a diffuse Type II ISR [Figures 1 and 2].
case_images: Optical coherence tomography image prestenting showing diffuse backscattering by lesion and stent underexpansion (4-6 o'clock positions)
case_images: HV-20-28-g003.jpg
case_images: PMC6524424_01_HV-20-28-g003.jpg
case_images: F3
case_images: Intravascular imaging with OCT was carried out which showed in-stent diffuse backscattering lesion with minimum stent area of 2.62 mm2 which could be either due to an underexpanded stent or probably malapposed struts at 4-6 o'clock positions [Figure 3].
case_images: Optical coherence tomography image poststenting showing good expansion and apposition
case_images: HV-20-28-g004.jpg
case_images: PMC6524424_01_HV-20-28-g004.jpg
case_images: F4
case_images: Repeat OCT poststenting was carried out, which showed good apposition and minimum stent area of 4.97 mm2 with no evidence of underexpansion or geographical miss [Figure 4].
case_images: Final result poststenting in the left anterior oblique caudal view
case_images: HV-20-28-g005.jpg
case_images: PMC6524424_01_HV-20-28-g005.jpg
case_images: F5
case_images: TIMI III flow [Figure 5]. The patient was discharged in a hemodynamically stable and pain-free condition.