title: Intracoronary beta radiation for in-stent restenosis in a patient with percutaneously treated hypertrophic cardiomyopathy and coronary artery disease.
abstract: 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.
authors.affiliation: Medizinische Klinik II, Universitätsklinikum Lübeck, Germany. drdeepakjain@hotmail.com
authors.forename: Deepak
authors.initials: D
authors.lastname: Jain
authors.forename: Volker
authors.initials: V
authors.lastname: Geist
authors.forename: Hugo A
authors.initials: HA
authors.lastname: Katus
authors.forename: Gert
authors.initials: G
authors.lastname: Richardt
mesh_terms: 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