采用氟代脱氧葡萄糖正电子发射断层显像/计算机断层扫描（FDG-PET/CT）引导下的免疫抑制剂治疗孤立性冠状动脉炎以打破支架内再狭窄的恶性循环。
Isolated Coronary Arteritis Treated With FDG-PET/CT-Guided Immunosuppressant to Break the Vicious Cycle of In-Stent Restenosis.
作者信息
Takasaki Akihiro, Kurita Tairo, Hirota Yumi, Uno Kenta, Kirii Yosuke, Ichikawa Mizuki, Ishiyama Masaki, Terashima Mitsuyasu, Nakajima Ayako, Dohi Kaoru
机构信息
Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Department of Cardiology, Toyohashi Heart Center, Toyohashi, Aichi, Japan.
出版信息
JACC Case Rep. 2023 Nov 15;28:102102. doi: 10.1016/j.jaccas.2023.102102. eCollection 2023 Dec 20.
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.
冠状动脉支架内再狭窄是一个罕见但棘手的问题。在这种情况下，应考虑冠状动脉炎作为病因。本病例突出了使用包括托珠单抗在内的免疫抑制药物，以及后续的F-18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描，以打破由不明原因的孤立性冠状动脉炎引起的再狭窄恶性循环。
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