The Contemporary Use of Intracoronary Brachytherapy for In-Stent Restenosis: A Review

被引：1

作者：

Madanat, Luai ^{[1
]}

Donisan, Teodora ^{[2
]}

Balanescu, Dinu, V ^{[1
]}

Jabri, Ahmad ^{[3
]}

Al-Abdouh, Ahmad ^{[4
]}

Alsabti, Sam ^{[1
]}

Li, Shuo ^{[1
]}

Kheyrbek, Mazhed ^{[1
]}

Mertens, Amy ^{[5
]}

Hanson, Ivan ^{[5
]}

Dixon, Simon ^{[4
]}

机构：

[1] Beaumont Hosp, Dept Internal Med, 3601 W 13 Mile Rd, Royal Oak, MI 48073 USA

[2] Mayo Clin, Sch Med, Dept Cardiovasc Med, Rochester, MN USA

[3] Metrohlth Med Ctr, Heart & Vasc Ctr, Dept Cardiovasc Med, Cleveland, OH USA

[4] Univ Kentucky, Dept Internal Med, Lexington, KY USA

[5] Beaumont Hosp, Dept Cardiovasc Med, Royal Oak, MI USA

来源：

CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2023年 / 51卷

关键词：

Brachytherapy; In-stent restenosis; Drug -eluting stent; Intra-coronary imaging; DRUG-ELUTING STENT; GAMMA-RADIATION THERAPY; DUAL ANTIPLATELET THERAPY; BARE-METAL STENTS; PERCUTANEOUS CORONARY INTERVENTION; CATHETER-BASED RADIOTHERAPY; VASCULAR BRACHYTHERAPY; BALLOON ANGIOPLASTY; BETA-RADIATION; FOLLOW-UP;

D O I：

10.1016/j.carrev.2023.01.019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In-stent restenosis (ISR) has been a major limitation in interventional cardiology and constitutes nearly 10 % of all percutaneous coronary interventions in the United States. Drug-eluting stent (DES) restenosis proves particularly difficult to manage and poses a high risk of recurrence and repeat intervention. Intra-coronary brachytherapy (IBT) has been traditionally viewed as a potential treatment modality for ISR. However, its use was hindered by procedural complexity, cost, and the advent of newer-generation DES. Recent data suggests promising results regarding IBT for the treatment of resistant DES-ISR. This review addresses the mechanism of action of IBT, pro-cedural details, and associated risks and complications of its use. It will also highlight the available clinical evi-dence supporting the use of IBT and the future directions of its utilization in the treatment of ISR.(c) 2023 Elsevier Inc. All rights reserved.

引用

页码：67 / 74

页数：8

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