Brachytherapy for renal artery in-stent restenosis.
We describe a 66-year-old female who presented with recurrent acute pulmonary edema and uncontrolled hypertension. She was diagnosed with left renal artery stenosis and treated with angioplasty and stent placement. Her clinical status improved initially but symptoms recurred within 4 months. Further evaluation documented renal artery in-stent restenosis, which was successfully treated with cutting balloon angioplasty followed by brachytherapy. The feasibility of renal artery brachytherapy and short-term follow-up is presented.
Aslam
Muhammad Shakil
MS
Division of Cardiology, Lutheran General Hospital, Park Ridge, Illinois 60068, USA. heartdoc20@hotmail.com
Balasubramanian
Jayalakshmi
J
Greenspahn
Bruce R
BR
D000368:Aged; D000800:Angioplasty, Balloon; D001918:Brachytherapy; D000077144:Clopidogrel; D005260:Female; D006801:Humans; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012008:Recurrence; D012078:Renal Artery Obstruction / Q000532:radiotherapy*; D015607:Stents; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine