Isolated Coronary Arteritis Treated With FDG-PET/CT-Guided Immunosuppressant to Break the Vicious Cycle of In-Stent Restenosis

• 發表在: JACC: Case Reports
• Main Authors: Akihiro Takasaki, MD, PhD, Tairo Kurita, MD, PhD, Yumi Hirota, MD, Kenta Uno, MD, Yosuke Kirii, MD, Mizuki Ichikawa, MD, PhD, Masaki Ishiyama, MD, PhD, Mitsuyasu Terashima, MD, PhD, Ayako Nakajima, MD, PhD, Kaoru Dohi, MD, PhD
• 格式: Article
• 語言: 英语
• 出版: Elsevier 2023-12-01
• 主題: autoimmune; intravascular ultrasound; percutaneous coronary intervention; positron emission tomography; stenosis; stents
• 在線閱讀: http://www.sciencedirect.com/science/article/pii/S2666084923004382
• ISSN: 2666-0849

Recurrent in-stent restenosis of the coronary artery is a rare but intractable problem. In this situation, coronary arteritis should be considered as an etiology. This case highlights the use of immunosuppressive drugs, including tocilizumab, and follow-up F-18-fluorodeoxyglucose positron emission tomography/computed tomography to break the vicious circle of recurrent stenosis caused by isolated coronary arteritis of unknown cause.