Brachytherapy for refractory coronary artery restenosis.
A 76-year-old female patient complained of progressive episodes of chest and left arm pain and numbness, accompanied by a burning sensation in the left breast. The symptoms were nitroglycerine-responsive and consistent with her prior angina. Cardiac history included an initial percutaneous coronary intervention and 4 subsequent occurrences of restenosis in a stented area of the left anterior descending (LAD) coronary artery. Following a fifth restenosis of the LAD, the Novoste  Beta-Cath  Brachytherapy System was employed following balloon dilatation of the persistent recurrence. At 10 months post-brachytherapy, angiography revealed a patent LAD with no evidence of in-stent restenosis.
Cummins
Frank
F
Wisconsin Heart and Vascular Clinics, Milwaukee, USA.
Jagetia
Rakesh
R
Nonnweiler
Joy
J
D000368:Aged; D001610:Beta Particles / Q000627:therapeutic use; D001918:Brachytherapy; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis / Q000532:radiotherapy*; D005260:Female; D006801:Humans; D012008:Recurrence