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Volume 347:692-693 August 29, 2002 Number 9
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Brachytherapy and Saphenous-Vein Grafts

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by Waksman, R.
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To the Editor: Radiation treatment undoubtedly reduces the risk of recurrence of in-stent restenosis. However, the findings of Waksman et al. (April 18 issue)1 should be taken in the context of two facts. First, although the greatest need for target-lesion revascularization (that is, restenosis) occurs within the first 8 months after the procedure, the risk of restenosis after vein-graft intervention continues to rise until 18 to 24 months after the procedure, suggesting a phenomenon of late restenosis that is unique to vein-graft intervention.2,3 Therefore, longer follow-up (perhaps with follow-up angiography at 24 months) would be helpful in judging the magnitude . . . [Full Text of this Article]



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