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The traumatic effect of balloon dilatation on neointimal hyperplasia: what we did not see before optical coherence tomography
  1. Andrea Picchi,
  2. Andrea Micheli,
  3. Ugo Limbruno
  1. Correspondence to Andrea Picchi; andre.picchi{at}

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A 79-year-old patient was referred to our cardiac care unit for unstable angina. He had a history of diabetes and hypercholesterolaemia and 5 months earlier he had undergone percutaneous coronary intervention of the proximal left anterior descending with bare metal stent implantation because of unstable angina. One month after stent implantation clopidogrel was discontinued because of a cutaneous allergy. Coronary angiography showed a severe in-stent restenosis of the proximal left anterior descending (figure 1A); taking …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.