Instent restenosis is a common problem.
Diffuse long segment instent restenosis is somewhat rare.
We encountered one such patient who had diffuse instent restenosis of RCA.
ISR is ssupposed to be rare in DES, but here ISR occured with a Cypher stent one year following implantation
He presented with angina which was relieved by plain baloon angioplasty.
link to a related article in this site regarding the mangementof ISR.
Dr.S.Venkatesan MD 