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
收藏
页码：67 / 74
页数：8
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