Intracoronary radiation for prevention of restenosis: dose perturbations caused by stents.

Abstract:

BACKGROUND:Intravascular irradiation with beta-emitters has been proposed for inhibition of restenosis in coronary arteries after balloon angioplasty or stent implantation. Previous studies have shown the effectiveness of gamma-radiation to prevent recurrent restenosis, even in the presence of an implanted stent. The limited range of beta-particles compared with gamma-radiation, however, opens the question of whether absorption and scattering of beta-particles by stent struts will cause significant perturbations in the uniformity and magnitude of the radiation dose, which may in turn compromise treatment. METHODS AND RESULTS:Nine different stents were deployed with a balloon filled with a beta-emitting radioactive liquid. Dose distributions were measured with Gafchromic film. Stents varied significantly in their absorption of beta-particles. Some stents, constructed of fine meshed wires, produced minimal dose perturbations. Others, with thicker, high-atomic-number struts, induced cold spots in the dose distribution adjacent to the wires of

journal_name

Circulation

journal_title

Circulation

authors

Amols HI,Trichter F,Weinberger J

doi

10.1161/01.cir.98.19.2024

subject

Has Abstract

pub_date

1998-11-10 00:00:00

pages

2024-9

issue

19

eissn

0009-7322

issn

1524-4539

journal_volume

98

pub_type

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