[13-year result after implantation of intracoronary stent (treatment of progressing atherosclerosis of coronary arteries with the help of endovascular methods)].

Clinical case of implantation in anterior interventricular artery (AIA ) of the first coronary stent in Russia is presented. Control angiogram obtained 7 years after stenting showed stent patency without restenosis with maximal 15.68% in-stent stenosis. Angiogram obtained after 13 years revealed good patency of previously stented segment of AIA. However a new stenosis appeared in left main coronary artery as a result of natural progression of atherosclerotic process. A drug eluting stent (Cypher) was implanted into left main coronary artery with good immediate result. This clinical observation demonstrates possibility of maintenance of effect of coronary artery stenting for long period of time as well as possibility of repetitive use of endovascular methods of treatment of ischemic heart disease despite newly developed complex lesions.