- What Is CAD?
- Potential Risks
- Other Treatments
Coronary brachytherapy is a safe and minimally invasive treatment for people with multiple stents or recurring in-stent restenosis, a condition in which scar tissue develops around the stent, causing blockage or narrowing of the artery.
The need for coronary brachytherapy has decreased because the newer type of stents (called drug-eluting or drug-coated stents) have decreased the rate of restenosis by 5 to 15 percent as they contain a slow-release drug, which limits scar tissue that grows inside the stent.
What is coronary brachytherapy?
It is also known as:
- Vascular brachytherapy
- Cardiac brachytherapy
- Adjunctive intracoronary radiation therapy
What are the indications of coronary brachytherapy?
Coronary brachytherapy is used as a treatment for people with coronary artery diseases who have undergone percutaneous coronary intervention, a procedure that involves inserting a small balloon and stent (metal mesh tube) to open a blocked artery.
Coronary brachytherapy is indicated if you have:
- Health conditions, such as diabetes (this increases the risk of complications during other treatments for coronary artery disease)
- Multiple stents or a long stent
- Recurring in-stent restenosis
- Small blood vessels
Coronary brachytherapy is contraindicated if you have:
What are the potential risks involved in coronary brachytherapy?
Similar to any other cardiac catheterization procedure, the risks involved in coronary brachytherapy include:
How is coronary brachytherapy performed?
Though the procedure only takes around 10 minutes, you might be asked to stay at the hospital for several hours.
The following are the steps of coronary brachytherapy:
- Most people are sedated during catheterization procedures, but some people may receive general anesthesia.
- The cardiologist inserts a catheter (a thin, flexible tube) into the narrowed coronary artery under X-ray guidance.
- A tiny balloon is inflated in the narrowed artery to widen it for the delivery of radiation.
- A controlled dose of local radiation is delivered for about 4 to 15 minutes to the narrowed area of the artery through a ribbon of radioactive isotopes.
- This radiation destroys the cells that cause scar tissue accumulation in that area.
- The cardiologist removes the radiation and catheter.
- Most people are allowed to go home on the day of the procedure.
- Adequate rest and avoiding strenuous activities for a few days are recommended.
- Some medications might be prescribed to prevent blood clots.
After the treatment, you are advised to follow a heart-healthy lifestyle, which includes:
What are the other treatment options for restenosis?
Other common treatment alternatives for restenosis include:
- Scans Show Brain Changes in People With Long COVID
- Got GERD? Eat This Way to Help Avoid Symptoms
- 5 Women Contracted Syphilis Affecting the Eyes From the Same Asymptomatic Man
- Long COVID Now Common in U.S. Nursing Homes
- Breathing in Coal-Based Pollution Could Be Especially Deadly: Study
- More Health News »
Health Solutions From Our Sponsors
Coronary Brachytherapy. Cleveland Clinic: https://my.clevelandclinic.org/health/treatments/17693-coronary-brachytherapy#:~:text=Coronary%20brachytherapy%20is%20a%20minimally,or%20recurring%20in%2Dstent%20restenosis.
Intracoronary Brachytherapy For In-Stent Restenosis Of Drug-Eluting Stents. NIH: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5506705/
Top Brachytherapy Related Articles
Breast cancer is an invasive tumor that develops in the mammary gland. Breast cancer is detected via mammograms, breast self-examination (BSE), biopsy, and specialized testing on breast cancer tissue. Treatment of breast cancer may involve surgery, radiation, hormone therapy, chemotherapy, and targeted therapy. Breast cancer risk may be lowered by managing controllable risk factors.
What you should know about breast cancer
- Breast cancer is the most common cancer among American women.
- One in every eight women in the United States develops breast cancer.
- There are many types of breast cancer that differ in their capability of spreading (metastasize) to other body tissues.
- The causes of breast cancer are unknown, although medical professionals have identified a number of risk factors.
- There are 11 common types of breast cancer and 4 uncommon types of breast cancer.
- Breast cancer early signs and symptoms include
- a lump in the breast or armpit,
- bloody nipple discharge,
- inverted nipple,
- orange-peel texture or dimpling of the breast's skin (peau d'orange),
- breast pain or sore nipple,
- swollen lymph nodes in the neck or armpit, and
- a change in the size or shape of the breast or nipple.
- Breast cancer can also be symptom free, which makes following national screening recommendations an important practice.
- Breast cancer is diagnosed during a physical exam, by a self-exam of the breasts, mammography, ultrasound testing, and biopsy.
- Treatment of breast cancer depends on the type of cancer and its stage (0-IV) and may involve surgery, radiation, or chemotherapy.
Percutaneous Coronary Intervention (PCI)Balloon angioplasty of the coronary artery and stents (percutaneous coronary intervention, PCI) is a nonsurgical procedure that relieves narrowing and obstruction of the arteries to the muscle of the heart. PCI can relieve chest pain (angina), minimize or stop a heart attack, or improve the prognosis of patients with unstable angina. The availability of stainless steel stents has expanded the spectrum of patients suitable for PCI.
How Is Coronary Heart Disease Diagosed?Coronary heart disease or coronary artery disease (CAD) screening tests can be used to potentially prevent a heart attack or cardiac event in a person without heart disease symptoms, and can assist in diagnosing heart disease in individuals with heart disease symptoms. Coronary heart disease tests can include electrocardiogram (ECC, EKG), exercise stress test, radionuclide stress test, stress echocardiography, pharmacologic stress test, CT coronary angiogram, and coronary angiogram.
Esophageal CancerEsophageal cancer is a disease in which malignant cells form in the esophagus. Risk factors of cancer of the esophagus include smoking, heavy alcohol use, Barrett's esophagus, being male and being over age 60. Severe weight loss, vomiting, hoarseness, coughing up blood, painful swallowing, and pain in the throat or back are symptoms. Treatment depends upon the size, location and staging of the cancer and the health of the patient.
Foods That Are Bad for Your HeartIf you want a healthy ticker, there are some foods you’ll want to indulge in every now and then only. Find out which ones and how to make healthy substitutes.
Heart Attack (Myocardial Infarction): Early Warning Signs, Symptoms, Causes, and TreatmentA heart attack occurs when a blood clot completely obstructs a coronary artery supplying blood to the heart muscle. Learn about warning signs, causes, complications, risk factors, and treatment.
Heart Attack Pathology: Photo EssayA heart attack is a layperson's term for a sudden blockage of a coronary artery. This photo essay includes graphics, pictures, and illustrations of diseased heart tissue and the mechanisms that lead to coronary artery disease, and possible heart attack. A coronary artery occlusion may be fatal, but most patients survive it. Death can occur when the occlusion leads to an abnormal heartbeat (severe arrhythmia) or death of heart muscle (extensive myocardial infarction).
Heart Disease: Warning Signs of Cardiovascular Disease
Heart disease (coronary artery disease) occurs when plaque builds up in the coronary arteries, the vessels that supply blood to the heart. Heart disease can lead to heart attack. Risk factors for heart disease include:
- High blood pressure
- High cholesterol
- Family history
Angina, shortness of breath, and sweating are just a few symptoms that may indicate a heart attack. Treatment of heart disease involves control of heart disease risk factors through lifestyle changes, medications, and/or stenting or bypass surgery. Heart disease can be prevented by controlling heart disease risk factors.
CAD SlideshowWhat is heart disease (coronary artery disease)? Learn about the causes of heart disease, arrhythmias and myopathy. Symptoms of heart disease include chest pain and shortness of breath. Explore heart disease diagnosis, treatment, and prevention.
Heart Disease: Causes of a Heart AttackHeart disease prevention includes controlling risk factors like diet, exercise, and stress. Heart disease symptoms in women may differ from men. Use a heart disease risk calculator to determine your heart attack risk.
Heart Disease QuizTake our Heart Disease Quiz to get answers and facts about high cholesterol, atherosclerosis prevention, and the causes, symptoms, treatments, testing, and procedures for medically broken hearts.
Am I Having a Heart Attack? Symptoms of Heart DiseaseHeart attacks symptoms vary greatly for men and women, from anxiety and fatigue to nausea and sweating. Learn the warning signs of a heart attack and know the symptoms that may require an immediate trip to the hospital.
Lung CancerLung cancer kills more men and women than any other form of cancer. Eight out of 10 lung cancers are due to tobacco smoke. Lung cancers are classified as either small-cell or non-small-cell lung cancers.
Prostate cancer is the most common cancer in men after skin cancer.
- Risk factors include age, family history, ethnicity, and diet.
- Prostate cancer is diagnosed by a digital rectal exam, prostate-specific antigen (PSA) test, and prostate biopsy.
- Symptoms may include
- frequent need to urinate,
- incontinence, pain,
- blood in the urine,
- fatigue, and more.
- Prognosis and treatment depend on cancer staging.
- Watchful waiting,
- cryotherapy, and
- other management strategies are available.
- Research and clinical trials strive to find new and better treatments for prostate cancer.
What Should I Do After an Unwanted Pregnancy?There are a variety of options that may help you handle your situation. It might help you to visualize each option and decide how you feel about it. Consider reaching out to trained professionals or close friends if you get overwhelmed.