In what scenario could brachytherapy be favored over CABG for recurrent ISR lesions with two layers of stent refractory to cutting balloon or laser, provided the patient is a good surgical candidate?

This is a very interesting question that is nuanced by the specific situation. Knowing the specific anatomy is important. Whether this is single- or multivessel disease, and whether it is focal or diffuse, will influence the decision, as will patient preference.

I approach this using the information ...