Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 4/2008

01-07-2008 | Review

Endovascular Brachytherapy in the Femoropopliteal Segment Using 192Ir and 188Re

Authors: Walter A. Wohlgemuth, Giesbert Leissner, Hermann Wengenmair, Klaus Bohndorf, Klaus Kirchhof

Published in: CardioVascular and Interventional Radiology | Issue 4/2008

Login to get access

Abstract

This report presents a review of the literature on endovascular brachytherapy (EVBT) after percutaneous transluminal angioplasty (PTA) in the femoropopliteal segment. We summarize the pathophysiological changes induced by PTA and EVBT within the vessel wall, technical considerations regarding various radiation sources and their application, the impact of stents on the radial dose profile, recommendations for dosimetry of beta and gamma sources, results of experimental and clinical trials, and the medication required before, during, and after EVBT. We aim to help to identify patients who are eligible for EVBT, to choose an appropriate technical approach, and to initiate adequate antiplatelet and anticoagulant therapy.
Literature
1.
go back to reference Schopohl B, Liermann D, Pohlit LJ, et al. (1996) 192Ir endovascular brachytherapy for avoidance of intimal hyperplasia after percutaneous transluminal angioplasty and stent implantation in peripheral vessels: 6 years of experience. Int J Radiat Oncol Biol Phys 36:835–840PubMedCrossRef Schopohl B, Liermann D, Pohlit LJ, et al. (1996) 192Ir endovascular brachytherapy for avoidance of intimal hyperplasia after percutaneous transluminal angioplasty and stent implantation in peripheral vessels: 6 years of experience. Int J Radiat Oncol Biol Phys 36:835–840PubMedCrossRef
2.
go back to reference Block P, Myler R, Stertzer S, et al. (1981) Morphology after transluminal angioplasty in human beings. N Engl J Med 305:382–385PubMedCrossRef Block P, Myler R, Stertzer S, et al. (1981) Morphology after transluminal angioplasty in human beings. N Engl J Med 305:382–385PubMedCrossRef
3.
go back to reference Leu H (1982) Morphology of the arterial wall after percutaneous transluminal dilatation. Vasa 11:265–269PubMed Leu H (1982) Morphology of the arterial wall after percutaneous transluminal dilatation. Vasa 11:265–269PubMed
4.
go back to reference Ip JH, Fuster V, Badimon L, et al. (1990) Syndromes of acceleration atherosclerosis: role of vascular injury and smooth muscle cell prolifartion. J Am Coll Cardiol 15:1667–1687PubMedCrossRef Ip JH, Fuster V, Badimon L, et al. (1990) Syndromes of acceleration atherosclerosis: role of vascular injury and smooth muscle cell prolifartion. J Am Coll Cardiol 15:1667–1687PubMedCrossRef
5.
go back to reference Ip JH, Fuster V, Israel D, et al. (1991) The role of platelets, thrombin and hyperplasia in restenosis after coronary angioplasty. Am J Coll Cardiol 17:77B–88BCrossRef Ip JH, Fuster V, Israel D, et al. (1991) The role of platelets, thrombin and hyperplasia in restenosis after coronary angioplasty. Am J Coll Cardiol 17:77B–88BCrossRef
6.
go back to reference Kockx MM, De Meyer GR, Jacob WA, et al. (1993) Triphasic sequence of neointimal formation in the cuffed carotid artery of the rabbit. Arterioscler Thromb 12:1447–1457 Kockx MM, De Meyer GR, Jacob WA, et al. (1993) Triphasic sequence of neointimal formation in the cuffed carotid artery of the rabbit. Arterioscler Thromb 12:1447–1457
7.
go back to reference Scott NA, Cipolla GD, Ross CE, et al. (1996) Identification of a potential role of the adventitia in vascular lesion formation after balloon overstretch injury of porcine coronary arteries. Circulation 93:2178–2187PubMed Scott NA, Cipolla GD, Ross CE, et al. (1996) Identification of a potential role of the adventitia in vascular lesion formation after balloon overstretch injury of porcine coronary arteries. Circulation 93:2178–2187PubMed
8.
go back to reference Christen T, Verin V, Bochaton-Piallat M, et al. (2001) Mechanisms of neointima formation and remodelling in the porcine coronary artery. Circulation 103:882–888PubMed Christen T, Verin V, Bochaton-Piallat M, et al. (2001) Mechanisms of neointima formation and remodelling in the porcine coronary artery. Circulation 103:882–888PubMed
9.
go back to reference Mintz GS, Popma JJ, Hong MK, et al. (1996) Intravascular ultrasound to discern device-specific effects and mechanisms of restenosis. Am J Cardiol 78:18–22PubMedCrossRef Mintz GS, Popma JJ, Hong MK, et al. (1996) Intravascular ultrasound to discern device-specific effects and mechanisms of restenosis. Am J Cardiol 78:18–22PubMedCrossRef
10.
go back to reference Mintz GS, Popma JJ, Pichard AD, et al. (1996) Arterial remodeling after coronary angioplasty:a serial intravascular ultrasound study. Circuation 94:35–43 Mintz GS, Popma JJ, Pichard AD, et al. (1996) Arterial remodeling after coronary angioplasty:a serial intravascular ultrasound study. Circuation 94:35–43
11.
go back to reference Kuntz RE, Gibson CM, Nobuyoshi M, et al. (1993) Generalized model of restenosis after conventional balloon angioplasty, stenting and directional atherectomy. J Am Coll Cardiol 21:15–25PubMedCrossRef Kuntz RE, Gibson CM, Nobuyoshi M, et al. (1993) Generalized model of restenosis after conventional balloon angioplasty, stenting and directional atherectomy. J Am Coll Cardiol 21:15–25PubMedCrossRef
12.
go back to reference Kuntz RE, Safian RD, Levine MJ, et al. (1992) Novel approach to the analysis of restenosis after the use of three new coronary devices. J am Coll Cardiol 19:1493–1499PubMedCrossRef Kuntz RE, Safian RD, Levine MJ, et al. (1992) Novel approach to the analysis of restenosis after the use of three new coronary devices. J am Coll Cardiol 19:1493–1499PubMedCrossRef
13.
go back to reference Schwartz SM, Reidy MA (1996) Restenosis: an assessment of factors important in arterial occlusion. In: Fuster V, Ross R, Topol EJ (eds) Atherosclerosis and coronary artery disease. Lippincott-Raven, Philadelphia, pp 701–714 Schwartz SM, Reidy MA (1996) Restenosis: an assessment of factors important in arterial occlusion. In: Fuster V, Ross R, Topol EJ (eds) Atherosclerosis and coronary artery disease. Lippincott-Raven, Philadelphia, pp 701–714
14.
go back to reference Schwartz RS, Henry TD (2002) Pathophysiology of coronary artery restenosis. Rev Cardiovasc Med 3(Suppl 5):S4–S9PubMed Schwartz RS, Henry TD (2002) Pathophysiology of coronary artery restenosis. Rev Cardiovasc Med 3(Suppl 5):S4–S9PubMed
15.
16.
go back to reference Hancock WW, Adams DH, Wyner LR, et al. (1994) CD4+ monolayer cells induce cytokine expression, vascular smooth muscle cell proliferation, and arterial occlusion after endothelial injury. Am J Pathol 145:1008–1014PubMed Hancock WW, Adams DH, Wyner LR, et al. (1994) CD4+ monolayer cells induce cytokine expression, vascular smooth muscle cell proliferation, and arterial occlusion after endothelial injury. Am J Pathol 145:1008–1014PubMed
17.
go back to reference Hanke H, Hassenstein S, Ulmer A, et al. (1994) Accumulation of macrophages in the arterial vessel wall following experimental balloon angioplasty. Eur Heart J 15:691–698PubMed Hanke H, Hassenstein S, Ulmer A, et al. (1994) Accumulation of macrophages in the arterial vessel wall following experimental balloon angioplasty. Eur Heart J 15:691–698PubMed
18.
go back to reference Koyama N, Hart CE, Clowes AW (1994) Different functions of the platelet derived growth factor alpha and beta receptors for the migration and proliferation of cultured baboon smooth muscle cells. Circ Res 75:682–691PubMed Koyama N, Hart CE, Clowes AW (1994) Different functions of the platelet derived growth factor alpha and beta receptors for the migration and proliferation of cultured baboon smooth muscle cells. Circ Res 75:682–691PubMed
19.
go back to reference Andersen HR, Maeng M, Thorwest M, et al. (1996) Remodeling rather than neointimal formation explains luminal narrowing after deep vessel wall injury: insights form a porcine coronary (re)stenosis model. Circulation 93:1716–1724PubMed Andersen HR, Maeng M, Thorwest M, et al. (1996) Remodeling rather than neointimal formation explains luminal narrowing after deep vessel wall injury: insights form a porcine coronary (re)stenosis model. Circulation 93:1716–1724PubMed
20.
go back to reference Isner JM (1994) Vascular remodeling: Honey, I think I shrunk the artery. Circulation 89:2937–2941PubMed Isner JM (1994) Vascular remodeling: Honey, I think I shrunk the artery. Circulation 89:2937–2941PubMed
21.
go back to reference Luo H, Nishioka T, Eigler N, et al. (1996) Coronary artery restenosis after balloon angioplasty in humans is associated with circumferential coronary constriction. Arterioscler Thromb Vasc Biol 16:1393–1398PubMed Luo H, Nishioka T, Eigler N, et al. (1996) Coronary artery restenosis after balloon angioplasty in humans is associated with circumferential coronary constriction. Arterioscler Thromb Vasc Biol 16:1393–1398PubMed
22.
go back to reference Post MJ, Borst C, Pasterkamp G, et al. (1995) Arterial remodeling in atherosclerosis and restenosis: a vague concept of a distinct phenomenon. Atherosclerosis 118(Suppl):115–123CrossRef Post MJ, Borst C, Pasterkamp G, et al. (1995) Arterial remodeling in atherosclerosis and restenosis: a vague concept of a distinct phenomenon. Atherosclerosis 118(Suppl):115–123CrossRef
23.
go back to reference Mehran R, Dangas G, Mintz GS, et al. (2000) Atherosclerotic plaque burden and CK-MB enzyme elevation after coronary interventions: intravascular ultrasound study of 2256 patients. Circulation 101:604–610PubMed Mehran R, Dangas G, Mintz GS, et al. (2000) Atherosclerotic plaque burden and CK-MB enzyme elevation after coronary interventions: intravascular ultrasound study of 2256 patients. Circulation 101:604–610PubMed
24.
go back to reference Mintz GS, Pichard AD, Kent KM, et al. (1994) Intravascular ultrasound comparison of restenotic and de novo coronary artery narrowings. Am J Cardiol 74:1278–1280PubMedCrossRef Mintz GS, Pichard AD, Kent KM, et al. (1994) Intravascular ultrasound comparison of restenotic and de novo coronary artery narrowings. Am J Cardiol 74:1278–1280PubMedCrossRef
25.
go back to reference Krueger K, Zaehringer M, Stuetzer H, et al. (2004) De novo femoropopliteal stenoses: endovascular gamma irradiation following angioplasty–angiographic and clinical follow-up in a prospective randomized controlled trial. Radiology 231:546–554PubMedCrossRef Krueger K, Zaehringer M, Stuetzer H, et al. (2004) De novo femoropopliteal stenoses: endovascular gamma irradiation following angioplasty–angiographic and clinical follow-up in a prospective randomized controlled trial. Radiology 231:546–554PubMedCrossRef
26.
go back to reference Minar E, Pokrajac B, Maca T, et al. (2000) Endovascular brachytherapy for prophylaxis of restenosis after femoropopliteal angioplasty: results of a prospective randomized study. Circulation 102:2694–2699PubMed Minar E, Pokrajac B, Maca T, et al. (2000) Endovascular brachytherapy for prophylaxis of restenosis after femoropopliteal angioplasty: results of a prospective randomized study. Circulation 102:2694–2699PubMed
27.
go back to reference Wolfram RM, Budinsky AC, Pokrajac B, et al. (2005) Endovascular brachytherapy: restenosis in de novo versus recurrent lesions of femoropopliteal artery—the Vienna experience. Radiology 236:338–342PubMedCrossRef Wolfram RM, Budinsky AC, Pokrajac B, et al. (2005) Endovascular brachytherapy: restenosis in de novo versus recurrent lesions of femoropopliteal artery—the Vienna experience. Radiology 236:338–342PubMedCrossRef
28.
go back to reference Gallino A, Mahler F, Probst P, et al. (1984) Percutaneous transluminal angioplasty of the arteries of the lower limbs: a 5 year follow-up. Circulation 70:619–623PubMed Gallino A, Mahler F, Probst P, et al. (1984) Percutaneous transluminal angioplasty of the arteries of the lower limbs: a 5 year follow-up. Circulation 70:619–623PubMed
29.
go back to reference Murray RR Jr, Hewes RC, White RI Jr, et al. (1987) Long-segment femoropopliteal stenoses: Is angioplasty a boon or a bust? Radiology 162:473–476PubMed Murray RR Jr, Hewes RC, White RI Jr, et al. (1987) Long-segment femoropopliteal stenoses: Is angioplasty a boon or a bust? Radiology 162:473–476PubMed
30.
go back to reference Krepel VM, van Andel GJ, van Erp WF, et al. (1985) Percutaneous transluminal angioplasty of the femoropoliteal artery: initial and long-term results. Radiology 156:325–328PubMed Krepel VM, van Andel GJ, van Erp WF, et al. (1985) Percutaneous transluminal angioplasty of the femoropoliteal artery: initial and long-term results. Radiology 156:325–328PubMed
31.
go back to reference Capek P, McLean GK, Berkowitz HD (1991) Femoropopliteal angioplasty. Factors influencing long-term success. Circulation 83:I70–I80PubMed Capek P, McLean GK, Berkowitz HD (1991) Femoropopliteal angioplasty. Factors influencing long-term success. Circulation 83:I70–I80PubMed
32.
go back to reference Johnston KW (1992) Femoral and popliteal arteries: reanalysis of results of balloon angioplasty. Radiology 183:767–771PubMed Johnston KW (1992) Femoral and popliteal arteries: reanalysis of results of balloon angioplasty. Radiology 183:767–771PubMed
33.
go back to reference Matsi PJ, Manninen HI, Vanninen RL, et al. (1994) Femoropopliteal angioplasty in patients with claudication:primary and secondary patency in 140 limbs with 1–3-year follow-up. Radiology 191:727–733PubMed Matsi PJ, Manninen HI, Vanninen RL, et al. (1994) Femoropopliteal angioplasty in patients with claudication:primary and secondary patency in 140 limbs with 1–3-year follow-up. Radiology 191:727–733PubMed
34.
go back to reference Wolfram RM, Budinsky AC, Pokrajac B, et al. (2006) Endovascular brachytherapy for prophylaxis of restenosis after femoropopliteal angioplasty: five-year follow-up—prospective randomized study. Radiology 240:878–884PubMedCrossRef Wolfram RM, Budinsky AC, Pokrajac B, et al. (2006) Endovascular brachytherapy for prophylaxis of restenosis after femoropopliteal angioplasty: five-year follow-up—prospective randomized study. Radiology 240:878–884PubMedCrossRef
35.
go back to reference van Tongeren RB, van Sambeek MRHM, van Overhagen H, et al. (2005) Endovascular brachytherapy for the prevention of restenosis after femoropopliteal angioplasty. Results of the VARA Trial. J Cardiovasc Surg 46:437–443 van Tongeren RB, van Sambeek MRHM, van Overhagen H, et al. (2005) Endovascular brachytherapy for the prevention of restenosis after femoropopliteal angioplasty. Results of the VARA Trial. J Cardiovasc Surg 46:437–443
36.
go back to reference Muradin GS, Bosch JL, Stijnen T, et al. (2001) Balloon dilation and stent implantation for treatment of femoropopliteal arterial disease. Radiology 221:137–145PubMedCrossRef Muradin GS, Bosch JL, Stijnen T, et al. (2001) Balloon dilation and stent implantation for treatment of femoropopliteal arterial disease. Radiology 221:137–145PubMedCrossRef
37.
go back to reference Vroegindeweij D, Vos LD, Tielbeek AV, et al. (1997) Balloon angioplasty combined with primary stenting versus balloon angioplasty alone in femoropopliteal obstructions: a comparative randomized study. CardioVasc Interv Radiol 20:420–425CrossRef Vroegindeweij D, Vos LD, Tielbeek AV, et al. (1997) Balloon angioplasty combined with primary stenting versus balloon angioplasty alone in femoropopliteal obstructions: a comparative randomized study. CardioVasc Interv Radiol 20:420–425CrossRef
38.
go back to reference Grimm J, Müller-Hülsbeck S, Jahnke T, et al. (2001) Randomized study to compare PTA alone versus PTA with Palmaz stent placement for femoropopliteal lesions. J Vasc Interv Radiol 12:935–942PubMedCrossRef Grimm J, Müller-Hülsbeck S, Jahnke T, et al. (2001) Randomized study to compare PTA alone versus PTA with Palmaz stent placement for femoropopliteal lesions. J Vasc Interv Radiol 12:935–942PubMedCrossRef
39.
go back to reference Cejna M, Thurnher S, Illiasch H, et al. (2001) PTA versus Palmaz stent placement in femoropopliteal artery obstructions: a multicenter prospective randomized study. J Vasc Interv Radiol 12:23–31PubMedCrossRef Cejna M, Thurnher S, Illiasch H, et al. (2001) PTA versus Palmaz stent placement in femoropopliteal artery obstructions: a multicenter prospective randomized study. J Vasc Interv Radiol 12:23–31PubMedCrossRef
40.
go back to reference Zdanowski Z, Albrechtsson U, Lundin A, et al. (1999) Percutaneous transluminal angioplasty with or without stenting for femoropopliteal occlusions? A randomized controlled study. Int Angiol 18:251–255PubMed Zdanowski Z, Albrechtsson U, Lundin A, et al. (1999) Percutaneous transluminal angioplasty with or without stenting for femoropopliteal occlusions? A randomized controlled study. Int Angiol 18:251–255PubMed
41.
go back to reference Schillinger M, Sabeti S, Loewe C, et al. (2006) Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Engl J Med 354:1879–1888PubMedCrossRef Schillinger M, Sabeti S, Loewe C, et al. (2006) Balloon angioplasty versus implantation of nitinol stents in the superficial femoral artery. N Engl J Med 354:1879–1888PubMedCrossRef
42.
go back to reference Wissgott C, Steinkamp H (2007) Primäres Stenting vs. PTA in der AFS: Ergebnisse der FAST-Studie. Fortschr Röntgenstr 179:S243 Wissgott C, Steinkamp H (2007) Primäres Stenting vs. PTA in der AFS: Ergebnisse der FAST-Studie. Fortschr Röntgenstr 179:S243
43.
go back to reference Dormandy JA, Rutherford RB (2000) Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). J Vasc Surg 31:S1–S296PubMedCrossRef Dormandy JA, Rutherford RB (2000) Management of peripheral arterial disease (PAD). TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). J Vasc Surg 31:S1–S296PubMedCrossRef
44.
go back to reference Minar E, Ahmadi A, Koppensteiner R, et al. (1995) Comparison of effects of high-dose and low-dose aspirin on restenosis after femoropopliteal percutaneous transluminal angioplasty. Circulation 91:2167–2173PubMed Minar E, Ahmadi A, Koppensteiner R, et al. (1995) Comparison of effects of high-dose and low-dose aspirin on restenosis after femoropopliteal percutaneous transluminal angioplasty. Circulation 91:2167–2173PubMed
45.
go back to reference Pukac LA, Hirsch GM, Lormeau JC, et al. (1991) Antiproliferative effects of novel, nonanticoagulant heparin derivates on vascular smooth muscle cells in vitro and in vivo. Am J Pathol 139:1501–1509PubMed Pukac LA, Hirsch GM, Lormeau JC, et al. (1991) Antiproliferative effects of novel, nonanticoagulant heparin derivates on vascular smooth muscle cells in vitro and in vivo. Am J Pathol 139:1501–1509PubMed
46.
go back to reference Gallino A, Do D-D, Alerci M, et al. (2004) Effects of Probucol versus aspirin and versus brachytherapy on restenosis after femoropopliteal angioplasty: the PAB randomized multicenter trial. J Endovasc Ther 11:595–604PubMedCrossRef Gallino A, Do D-D, Alerci M, et al. (2004) Effects of Probucol versus aspirin and versus brachytherapy on restenosis after femoropopliteal angioplasty: the PAB randomized multicenter trial. J Endovasc Ther 11:595–604PubMedCrossRef
47.
go back to reference Herrman JP, Hermans WR, Vos J, et al. (1993) Pharmacological approaches to the prevention of restenosis following angioplasty. The search for the holy grail? Drugs 46:18–52PubMedCrossRef Herrman JP, Hermans WR, Vos J, et al. (1993) Pharmacological approaches to the prevention of restenosis following angioplasty. The search for the holy grail? Drugs 46:18–52PubMedCrossRef
48.
go back to reference Boger RH, Bode-Boger SM, Alfke H (1996) Restenosis after percutaneous transluminal angioplasty. II. Possibilities for pharmacologic intervention. Vasa 25:21–31PubMed Boger RH, Bode-Boger SM, Alfke H (1996) Restenosis after percutaneous transluminal angioplasty. II. Possibilities for pharmacologic intervention. Vasa 25:21–31PubMed
49.
go back to reference Russo R, Apostol J, Silva P, et al. (2000) Is intravascular ultrasound necessary for dose prescription during femoral artery brachytherapy? Observations from the Paris trial. Circulation 102(Suppl II):2065 Russo R, Apostol J, Silva P, et al. (2000) Is intravascular ultrasound necessary for dose prescription during femoral artery brachytherapy? Observations from the Paris trial. Circulation 102(Suppl II):2065
50.
go back to reference Wohlgemuth W, Bohndorf K (2003) Endovascular brachytherapy to prevent restenosis after angioplasty. Fortschr Röntgenstr 175:246–252CrossRef Wohlgemuth W, Bohndorf K (2003) Endovascular brachytherapy to prevent restenosis after angioplasty. Fortschr Röntgenstr 175:246–252CrossRef
51.
go back to reference Kotzerke J, Rentschler M, Glatting G, et al. (1998) Dosimetry fundamentals of endovascular therapy using Re-188 for the prevention of restenosis after angioplasty. Nuklearmedizin 37:68–72PubMed Kotzerke J, Rentschler M, Glatting G, et al. (1998) Dosimetry fundamentals of endovascular therapy using Re-188 for the prevention of restenosis after angioplasty. Nuklearmedizin 37:68–72PubMed
52.
go back to reference Stabin MG, Konijnenberg M, Knapp FF Jr, et al. (2000) Monte Carlo modeling of radiation dose distributions in intravascular radiation therapy. Med Phys 27:1086–1092PubMedCrossRef Stabin MG, Konijnenberg M, Knapp FF Jr, et al. (2000) Monte Carlo modeling of radiation dose distributions in intravascular radiation therapy. Med Phys 27:1086–1092PubMedCrossRef
53.
go back to reference Wuu C-S, Schiff P, Maryanski MJ, et al. (2003) Dosimetry study of Re-188 liquid balloon for intravascular brachytherapy using polymer gel dosimeters and laser-beam optical CT scanner. Med Phys 30:132–137PubMedCrossRef Wuu C-S, Schiff P, Maryanski MJ, et al. (2003) Dosimetry study of Re-188 liquid balloon for intravascular brachytherapy using polymer gel dosimeters and laser-beam optical CT scanner. Med Phys 30:132–137PubMedCrossRef
54.
go back to reference Kirisits C, Pokrajac B, Berger D, et al. (2004) Treatment parameters for beta and gamma devices in peripheral endovascular brachytherapy. Int J Radiat Oncol Biol Phys 60:1652–1659PubMedCrossRef Kirisits C, Pokrajac B, Berger D, et al. (2004) Treatment parameters for beta and gamma devices in peripheral endovascular brachytherapy. Int J Radiat Oncol Biol Phys 60:1652–1659PubMedCrossRef
55.
go back to reference Amols HI, Trichter F, Weinberger J (1998) Intracoronary radiation for prevention of restenosis. Dose pertubations caused by stents. Circulation 98:2024–2029PubMed Amols HI, Trichter F, Weinberger J (1998) Intracoronary radiation for prevention of restenosis. Dose pertubations caused by stents. Circulation 98:2024–2029PubMed
56.
go back to reference Sureka CS, Sunny CS, Subbaiah KV, et al. (2007) Dose distribution for endovascular brachytherapy using Ir-192 sources: comparison of Monte Carlo calculations with radiochromic film measurements. Phys Med Biol 52:525–537PubMedCrossRef Sureka CS, Sunny CS, Subbaiah KV, et al. (2007) Dose distribution for endovascular brachytherapy using Ir-192 sources: comparison of Monte Carlo calculations with radiochromic film measurements. Phys Med Biol 52:525–537PubMedCrossRef
57.
go back to reference Dries WJF (1997) Monte Carlo calculated dose distribution for endovascular HDR brachytherapy with Ir-192. Radiother Oncol 45:77–82PubMedCrossRef Dries WJF (1997) Monte Carlo calculated dose distribution for endovascular HDR brachytherapy with Ir-192. Radiother Oncol 45:77–82PubMedCrossRef
58.
go back to reference Williamson JF, Li Z (1995) Monte Carlo aided dosimetry of the microselection pulsed and high dose-rate 192Ir sources. Med Phys 22:809–819PubMedCrossRef Williamson JF, Li Z (1995) Monte Carlo aided dosimetry of the microselection pulsed and high dose-rate 192Ir sources. Med Phys 22:809–819PubMedCrossRef
59.
go back to reference Ye SJ, Ishmael PE, Feldmeier JJ (2003) Dosimetric caracteristics of a linear array of gamma or beta emitting seeds in intravascular irradiation: Monte Carlo studies for the AAPM TG-43/60 formalism. Med Phys 30:403–414PubMedCrossRef Ye SJ, Ishmael PE, Feldmeier JJ (2003) Dosimetric caracteristics of a linear array of gamma or beta emitting seeds in intravascular irradiation: Monte Carlo studies for the AAPM TG-43/60 formalism. Med Phys 30:403–414PubMedCrossRef
60.
go back to reference Baltas D, Karaiskos P, Papagiannis P, et al. (2001) Beta versus gamma dosimetry close to Ir-192 brachytherapy source. Med Phys 28:1875–1882PubMedCrossRef Baltas D, Karaiskos P, Papagiannis P, et al. (2001) Beta versus gamma dosimetry close to Ir-192 brachytherapy source. Med Phys 28:1875–1882PubMedCrossRef
61.
go back to reference Xu XG (2005) Effective dose for patients undergoing coronary and femoral intravascular radiotherapy involving an HDR 192Ir source. Radiat Prot Dosim 115:289–293CrossRef Xu XG (2005) Effective dose for patients undergoing coronary and femoral intravascular radiotherapy involving an HDR 192Ir source. Radiat Prot Dosim 115:289–293CrossRef
62.
go back to reference Amols HI, Reinstein LE, Weinberger J (1996) Dosimetry of radioactive coronary balloon dilatation catheter for treatment of neointimal hyperplasia. Med Phys 23:1793–1788CrossRef Amols HI, Reinstein LE, Weinberger J (1996) Dosimetry of radioactive coronary balloon dilatation catheter for treatment of neointimal hyperplasia. Med Phys 23:1793–1788CrossRef
63.
go back to reference Popowsky Y, Verin V, Schwager M, et al. (1996) A novel system for intracoronary β-irradiation: description and dosimetric results. Int J Radiat Oncol Biol Phys 36:923–931CrossRef Popowsky Y, Verin V, Schwager M, et al. (1996) A novel system for intracoronary β-irradiation: description and dosimetric results. Int J Radiat Oncol Biol Phys 36:923–931CrossRef
64.
go back to reference Kirisits C, Georg D, Wexberg P, et al. (2002) Determination and application of the reference isodose length (RIL) for commercial endovascular brachytherapy devices. Radiother Oncol 64:309–315PubMedCrossRef Kirisits C, Georg D, Wexberg P, et al. (2002) Determination and application of the reference isodose length (RIL) for commercial endovascular brachytherapy devices. Radiother Oncol 64:309–315PubMedCrossRef
65.
go back to reference Albiero R, Nishida T, Adamian M, et al. (2000) Edge restenosis after implantation of high activity (32)P radioactive beta-emitting stents. Circulation 101:2454–2457PubMed Albiero R, Nishida T, Adamian M, et al. (2000) Edge restenosis after implantation of high activity (32)P radioactive beta-emitting stents. Circulation 101:2454–2457PubMed
66.
go back to reference Hoher M, Wohrle J, Wohlfrom M, et al. (2000) Intracoronary beta-irradiation with a liquid (188)re-filled balloon: six-month results from a clinical safety and feasibility study. Circulation 101:2355–2360PubMed Hoher M, Wohrle J, Wohlfrom M, et al. (2000) Intracoronary beta-irradiation with a liquid (188)re-filled balloon: six-month results from a clinical safety and feasibility study. Circulation 101:2355–2360PubMed
67.
go back to reference Sabate M, Serruys PW, van der Giessen WJ, et al. (1999) Geometric vascular remodeling after balloon angioplasty and beta-radiation therapy: a three-dimensional intravascular ultrasound study. Circulation 100:1182–1188PubMed Sabate M, Serruys PW, van der Giessen WJ, et al. (1999) Geometric vascular remodeling after balloon angioplasty and beta-radiation therapy: a three-dimensional intravascular ultrasound study. Circulation 100:1182–1188PubMed
68.
go back to reference Sabate M, Costa MA, Kozuma K, et al. (2000) Geographic miss: a cause of treatment failure in radio-oncology applied to intracoronary radiation therapy. Circulation 101:2467–2471PubMed Sabate M, Costa MA, Kozuma K, et al. (2000) Geographic miss: a cause of treatment failure in radio-oncology applied to intracoronary radiation therapy. Circulation 101:2467–2471PubMed
69.
go back to reference Lansky AJ, Popma JJ, Massullo V, et al. (1999) Quantitative angiographic analysis of stent restenosis in the Scripps Coronary Radiation to Inhibit Intimal Proliferation Post Stenting (SCRIPPS) Trial. Am J Cardiol 84:410–414PubMedCrossRef Lansky AJ, Popma JJ, Massullo V, et al. (1999) Quantitative angiographic analysis of stent restenosis in the Scripps Coronary Radiation to Inhibit Intimal Proliferation Post Stenting (SCRIPPS) Trial. Am J Cardiol 84:410–414PubMedCrossRef
70.
go back to reference Cheneau E, Waksman R, Yazdi H, et al. (2002) How to fix the edge effect of catheter-based radiation therapy in stented arteries. Circulation 106:2271–2277PubMedCrossRef Cheneau E, Waksman R, Yazdi H, et al. (2002) How to fix the edge effect of catheter-based radiation therapy in stented arteries. Circulation 106:2271–2277PubMedCrossRef
71.
go back to reference Ahmed JM, Mintz GS, Waksman R, et al. (2000) Safety of intracoronary gamma-radiation on uninjured reference segments during the first 6 months after treatment of in-stent restenosis: a serial intravascular ultrasound study. Circulation 101:2227–2230PubMed Ahmed JM, Mintz GS, Waksman R, et al. (2000) Safety of intracoronary gamma-radiation on uninjured reference segments during the first 6 months after treatment of in-stent restenosis: a serial intravascular ultrasound study. Circulation 101:2227–2230PubMed
72.
go back to reference Kollaard RP, Dries WJF, van Kleffens HJ, et al. (2006) Recommendations on detectors and quality control procedures for brachytherapy beta sources. Radither Oncol 78:223–229CrossRef Kollaard RP, Dries WJF, van Kleffens HJ, et al. (2006) Recommendations on detectors and quality control procedures for brachytherapy beta sources. Radither Oncol 78:223–229CrossRef
73.
go back to reference NCS (Netherlands Commission on Radiation Dosimetry) (2004) Quality control of sealed beta sources on brachytherapy. Recommendations on detectors, measurement procedures and quality control of beta sources. Report 14. Available at: http://www.ncs-dos.org NCS (Netherlands Commission on Radiation Dosimetry) (2004) Quality control of sealed beta sources on brachytherapy. Recommendations on detectors, measurement procedures and quality control of beta sources. Report 14. Available at: http://​www.​ncs-dos.​org
74.
go back to reference Wyttenbach R, Gallino A, Alerci M, et al. (2004) Effects of percutaneous transluminal angioplasty and endovascular brachytherapy on vascular remodeling of human femoropopliteal artery by noninvasive magnetic resonance imaging. Circulation 110:1156–1161PubMedCrossRef Wyttenbach R, Gallino A, Alerci M, et al. (2004) Effects of percutaneous transluminal angioplasty and endovascular brachytherapy on vascular remodeling of human femoropopliteal artery by noninvasive magnetic resonance imaging. Circulation 110:1156–1161PubMedCrossRef
75.
go back to reference Pokrajac B, Pötter R, Wolfram RM, et al. (2005) Endovascular brachytherapy prevents restenosis after femoropopliteal angioplasty: results of the Vienna-3 randomised multicenter study. Radiother Oncol 74:3–9PubMedCrossRef Pokrajac B, Pötter R, Wolfram RM, et al. (2005) Endovascular brachytherapy prevents restenosis after femoropopliteal angioplasty: results of the Vienna-3 randomised multicenter study. Radiother Oncol 74:3–9PubMedCrossRef
76.
go back to reference Schopohl B, Leirmann D, Pohlit LJ, et al. (1996) Endovascular brachytherapy with 192Ir source for avoidance of intimal hyperplasia after percutaneous transluminal angioplasty and stent implantation in peripheral vessels: 6 years of experience. J Radiat Oncol Biol Phys 36:835–840CrossRef Schopohl B, Leirmann D, Pohlit LJ, et al. (1996) Endovascular brachytherapy with 192Ir source for avoidance of intimal hyperplasia after percutaneous transluminal angioplasty and stent implantation in peripheral vessels: 6 years of experience. J Radiat Oncol Biol Phys 36:835–840CrossRef
77.
go back to reference Wolfram R, Pokrajak B, Ahmadi R, et al. (2001) Endovascular brachytherapy for prophylaxis against restenosis after long-segment femoropopliteal stenting: initial results. Radiology 220:724–729PubMedCrossRef Wolfram R, Pokrajak B, Ahmadi R, et al. (2001) Endovascular brachytherapy for prophylaxis against restenosis after long-segment femoropopliteal stenting: initial results. Radiology 220:724–729PubMedCrossRef
78.
go back to reference Wolfram RM, Budinsky AC, Pokrajac B, et al. (2005) Vascular brachytherapy with 192Ir after femoropopliteal stent implantation in high-risk patients: twelve-month follow-up results from the Vienna-5 trial. Radiology 236:343–351PubMedCrossRef Wolfram RM, Budinsky AC, Pokrajac B, et al. (2005) Vascular brachytherapy with 192Ir after femoropopliteal stent implantation in high-risk patients: twelve-month follow-up results from the Vienna-5 trial. Radiology 236:343–351PubMedCrossRef
79.
go back to reference Knapp FF Jr, Guhlke S, Beets AL, et al. (1999) Endovascular beta irradiation for prevention of restenosis using solution radioisotopes: pharmacologic and dosimetric properties of rhenium-188 compounds. Cardiovasc Radiat Med 1:86–97CrossRef Knapp FF Jr, Guhlke S, Beets AL, et al. (1999) Endovascular beta irradiation for prevention of restenosis using solution radioisotopes: pharmacologic and dosimetric properties of rhenium-188 compounds. Cardiovasc Radiat Med 1:86–97CrossRef
80.
go back to reference Nori D (2000) Cardiovascular radiation therapy IV: principles of external radiation for vascular applications. Syllabus, Washington, DC, p 204 Nori D (2000) Cardiovascular radiation therapy IV: principles of external radiation for vascular applications. Syllabus, Washington, DC, p 204
81.
go back to reference Steidle B (1994) Preventive percutaneous radiation therapy to avoid hyperplasia of the intima after angioplasty combined with stent-implantation. Strahlenther Onkol 170:151–154PubMed Steidle B (1994) Preventive percutaneous radiation therapy to avoid hyperplasia of the intima after angioplasty combined with stent-implantation. Strahlenther Onkol 170:151–154PubMed
82.
go back to reference Fritz P, Stein U, Hasslacher C, et al. (2004) External beam radiotherapy fails to prevent restenosis after iliac or femoropopliteal percutaneous transluminal angioplasty: results of a prospective randomised double-blind study. Int J Radiat Oncol Biol Phys 59:815–821PubMedCrossRef Fritz P, Stein U, Hasslacher C, et al. (2004) External beam radiotherapy fails to prevent restenosis after iliac or femoropopliteal percutaneous transluminal angioplasty: results of a prospective randomised double-blind study. Int J Radiat Oncol Biol Phys 59:815–821PubMedCrossRef
83.
go back to reference Krueger K, Bendel M, Zaehringer M, et al. (2006) Endovascular gamma irradiation for the prevention restenosis after angioplasty of femoropopliteal de novo stenoses. Eur Radiol 16:399–406PubMedCrossRef Krueger K, Bendel M, Zaehringer M, et al. (2006) Endovascular gamma irradiation for the prevention restenosis after angioplasty of femoropopliteal de novo stenoses. Eur Radiol 16:399–406PubMedCrossRef
84.
go back to reference Hagenaars T, If AP, van Sambeek MR, et al. (2002) Gamma radiation induces positive vascular remodeling after balloon angioplasty: a prospective, randomized intravascular ultrasound scan study. J Vasc Surg 36:318–324PubMedCrossRef Hagenaars T, If AP, van Sambeek MR, et al. (2002) Gamma radiation induces positive vascular remodeling after balloon angioplasty: a prospective, randomized intravascular ultrasound scan study. J Vasc Surg 36:318–324PubMedCrossRef
85.
go back to reference Costa MA, Sabaté M, van der Giessen WJ, et al. (1999) Late coronary occlusion after intra-coronary brachytherapy. Circulation 100:789–792PubMed Costa MA, Sabaté M, van der Giessen WJ, et al. (1999) Late coronary occlusion after intra-coronary brachytherapy. Circulation 100:789–792PubMed
86.
go back to reference Shimotakahara S, Mayberg MR (1994) Gamma irradiation inhibits neointimal hyperplasia in rats after arterial injury. Stroke 25:424–428PubMed Shimotakahara S, Mayberg MR (1994) Gamma irradiation inhibits neointimal hyperplasia in rats after arterial injury. Stroke 25:424–428PubMed
87.
go back to reference Waksman R, Robinson KA, Crocker IR, et al. (1995) Endovascular low-dose irradiation inhibits neointima formation after coronary artery balloon injury in swine: a possible role for radiation therapy in restenosis pervention. Circulation 91:1533–1539PubMed Waksman R, Robinson KA, Crocker IR, et al. (1995) Endovascular low-dose irradiation inhibits neointima formation after coronary artery balloon injury in swine: a possible role for radiation therapy in restenosis pervention. Circulation 91:1533–1539PubMed
88.
go back to reference Waksman R, Robinson KA, Crocker IR, et al. (1995) Intracoronary low-dose beta-irradiation inhibits neointima formation after coronary artery balloon injury in the swine restenosis model. Circulation 92:3025–3031PubMed Waksman R, Robinson KA, Crocker IR, et al. (1995) Intracoronary low-dose beta-irradiation inhibits neointima formation after coronary artery balloon injury in the swine restenosis model. Circulation 92:3025–3031PubMed
89.
go back to reference Verin V, Popowski Y, de Bruyne B, et al. (2001) Endoluminal beta-radiation therapy for the prevention of coronary restenosis after balloon angioplasty. N Engl J Med 344:243–249PubMedCrossRef Verin V, Popowski Y, de Bruyne B, et al. (2001) Endoluminal beta-radiation therapy for the prevention of coronary restenosis after balloon angioplasty. N Engl J Med 344:243–249PubMedCrossRef
Metadata
Title
Endovascular Brachytherapy in the Femoropopliteal Segment Using 192Ir and 188Re
Authors
Walter A. Wohlgemuth
Giesbert Leissner
Hermann Wengenmair
Klaus Bohndorf
Klaus Kirchhof
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 4/2008
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-007-9275-3

Other articles of this Issue 4/2008

CardioVascular and Interventional Radiology 4/2008 Go to the issue