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

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

JACC: Case Reports (Dec 2023)

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

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

Affiliations

Akihiro Takasaki, MD, PhD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Tairo Kurita, MD, PhD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan; Address for correspondence: Dr Tairo Kurita, Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, Japan.
Yumi Hirota, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Kenta Uno, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Yosuke Kirii, MD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Mizuki Ichikawa, MD, PhD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Masaki Ishiyama, MD, PhD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan
Mitsuyasu Terashima, MD, PhD: Department of Cardiology, Toyohashi Heart Center, Toyohashi, Aichi, Japan
Ayako Nakajima, MD, PhD: Center for Rheumatic Diseases, Mie University Hospital, Tsu, Mie, Japan
Kaoru Dohi, MD, PhD: Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan

Journal volume & issue: Vol. 28
p. 102102

Abstract

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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.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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