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Brachytherapy

7 Podcasts • 8 Cases • 2 Courses on BackTable

Hear how experienced physicians manage Brachytherapy on BackTable. Learn from podcasts, cases, and courses curated by physician content creators, covering diagnosis, clinical decision-making, and treatments. Get the BackTable app to follow this Topic and hear more of the conversations that matter to your practice.

AngioClub: A Multimodality Approach to Recalcitrant In-Stent Restenosis
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CathMasters by CardioNerds

Episode # 6  •  29 Jun 2026

AngioClub: A Multimodality Approach to Recalcitrant In-Stent Restenosis

CathMasters discuss a challenging case of recalcitrant focal in-stent restenosis (ISR) within two layers of stent in a right coronary artery. The panel walks through a systematic approach to ISR: guide selection and access strategy; the role of intracoronary imaging in classifying ISR using the Waksman mechanistic classification; and a stepwise lesion-modification algorithm using cutting balloons, excimer laser coronary atherectomy (ELCA), and intravascular lithotripsy (IVL). The discussion concludes with the contemporary role of drug-coated balloons (DCB) versus vascular brachytherapy (VBT), and when to consider rotational atherectomy (RA) for stent ablation in refractory cases.

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