Complex transradial three vessel brachytherapy in a single session.
BACKGROUND
We report the case of a patient who underwent transradial brachytherapy in 3 different coronary vessels during a single session. She initially presented with unstable angina 4 months after the index procedure; control angiography showed severe and diffuse in-stent restenosis in the LAD, Cx and Mg arteries.


METHODS
After successful dilatation of the three vessels, we performed vascular brachytherapy using the Novoste Beta-Rail  system and a 60 mm length source train of 90Sr/Y radioactive seeds. No further stent was implanted. The patient left the hospital the next day. Follow-up angiography revealed widely patent vessels with no restenosis.


CONCLUSIONS
Transradial multivessel brachytherapy can be done during the same session.
Bertrand
Olivier F
OF
Interventional Cardiology Laboratories, Quebec Heart-Lung Institute/Laval Hospital, 2725, chemin Ste-Foy, Quebec City, Quebec, Canada, G1V 4G5. ofbertrand@videotron.ca
De Larochelliere
Robert
R
Tessier
Michel
M
D000328:Adult; D001918:Brachytherapy; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis / Q000532:radiotherapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000473:pathology* / Q000528:radiation effects*; D005260:Female; D006801:Humans; D018084:Ultrasonography, Interventional