Intracoronary beta radiation for in-stent restenosis in a patient with percutaneously treated hypertrophic cardiomyopathy and coronary artery disease.
Atherosclerotic coronary artery disease is not uncommon in elderly patients with hypertrophic cardiomyopathy. These disease entities are increasingly being treated with catheter-based techniques. We report an elderly symptomatic woman treated simultaneously with coronary angioplasty, stenting and transcoronary ablation of septal hypertrophy who developed in-stent restenosis 7 months later, and was then treated with brachytherapy. Six-month and 1-year post-brachytherapy follow-up revealed a good angiographic result and adequate symptomatic relief. This is the first report describing the feasibility and efficacy of intracoronary beta radiation in a patient with hypertrophic cardiomyopathy.
Jain
Deepak
D
Medizinische Klinik II, Universitätsklinikum Lübeck, Germany. drdeepakjain@hotmail.com
Geist
Volker
V
Katus
Hugo A
HA
Richardt
Gert
G
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D001918:Brachytherapy / Q000379:methods*; D006328:Cardiac Catheterization; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000532:radiotherapy*; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome