Back to Search
Start Over
Coronary Intravascular Brachytherapy for Recurrent Coronary Drug-Eluting Stent In-Stent Restenosis: A Systematic Review and Meta-Analysis.
- Source :
-
Cardiovascular Revascularization Medicine . Feb2021, Vol. 23, p28-35. 8p. - Publication Year :
- 2021
-
Abstract
- <bold>Objective: </bold>To examine the outcomes with intravascular brachytherapy (IVBT) in recurrent in-stent restenosis (ISR).<bold>Background: </bold>Recurrent ISR can be challenging to treat and IVBT can be used for recurrent ISR but has received limited study.<bold>Methods: </bold>We performed a systematic review and meta-analysis of five observational studies, including 917 patients (1014 lesions) with recurrent ISR, defined as having at least two prior ISR episodes with previous treatment with a stent, who underwent treatment with IVBT. Outcomes of interest included target vessel revascularization (TVR), myocardial infarction (MI), and all-cause mortality.<bold>Results: </bold>During a mean follow-up of 24 ± 7 months, the incidence of TVR was 29.2% (95% CI 18.0-40.4%). The incidence of MI and all-cause mortality were 4.3% (95% CI 1.7%-6.9%) and 7.3% (95% CI 3.2-11.5%), respectively. At one- and two-years after PCI the incidence of TVR was 17.5% (95% CI 13.6%-21.4%) and 26.7% (95% CI 16.6%-36.9%), respectively and the incidence of MI was 3.1% (95% CI 2-4.2%) and 3.9% (95% CI 1-6.8%), respectively.<bold>Conclusion: </bold>Intravascular brachytherapy can be used to treat recurrent ISR, although TVR is needed in approximately one of four patients at two years. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RADIOISOTOPE brachytherapy
*MYOCARDIAL infarction
*SCIENTIFIC observation
Subjects
Details
- Language :
- English
- ISSN :
- 15538389
- Volume :
- 23
- Database :
- Academic Search Index
- Journal :
- Cardiovascular Revascularization Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 148989241
- Full Text :
- https://doi.org/10.1016/j.carrev.2020.08.035