It was reported that restenosis occurred.On (b)(6) 2018, the patient presented with unstable angina.Coronary angiography revealed a bifurcated mid left anterior descending artery (lad) with 80-90% disease.The target lesion was directly stented with a 16 x 2.50 promus premier drug eluting stent resulting in 0% residual stenosis.The patient was stable and discharged on dual antiplatelet treatment.On (b)(6) 2023, the patient presented with unstable angina, experiencing left-sided chest pain radiating into the left shoulder and down the left arm for 2 days.Heparin drip was started, and the patient was stable, and their pain was resolved.The patient was diagnosed with non-st-elevation myocardial infraction and hypertension.Vascular access was obtained via the right femoral artery.Angiography revealed 99% in-stent restenosis of the previously deployed promus premier drug eluting stent.Following pre-dilation with a 2.00 x 12 emerge balloon, successful angioplasty was performed using a 2.75 x 22 non-bsc drug eluting stent.Following post dilation there was no residual stenosis.The patient became severely nauseated and hypertensive possibly due to a contrast allergy and was given medication.The patient felt better and was discharged on aspirin and statin therapy.
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