Technical difficulty in stenting Supralimus in radial artery graft.

Woman, 67 years old, with unstable angina and history of myocardial revascularization: left internal thoracic artery to anterior descending artery and graft with radial artery (RA) to right coronary artery branches. Coronariography showed stenosis of 90% in the RA graft, treated with conventional stent. After two months, the patient developed unstable angina related to in-stent restenosis, treated with sirolimus-eluting stent. In the follow-up, six months after implantation, the patient was asymptomatic and maintening the outcome of the implant. This case report demonstrates the technical difficulties of percutaneous intervention in RA grafts and treatment outcome of in-stent restenosis with sirolimus stent.