Restenosis remains the bane of percutaneous coronary intervention. Local de
livery of radiation, brachytherapy, is a promising therapy for the preventi
on of restenosis. Animal studies have suggested that brachytherapy may be a
n effective treatment for preventing restenosis. The type of radiation as w
ell as the doses and delivery systems are currently under study; several cl
inical trials are underway. This paper reviews the biological basis, includ
ing animal studies, of intracoronary brachytherapy as well as the current d
ata from clinical trials.