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Stenting for coronary artery spasm
Author(s) -
Khatri Shailesh,
Webb John G.,
Carere Ronald G.,
Dodek Arthur
Publication year - 2002
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10170
Subject(s) - medicine , restenosis , artery , cardiology , revascularization , refractory (planetary science) , stent , surgery , myocardial infarction , physics , astrobiology
We evaluated coronary stenting in nine patients with clinically severe, angiographically documented spasm refractory to aggressive pharmacologic management. No patient subsequently developed unstable ischemia requiring hospitalization as a consequence of recurrent spasm within the stent. Mechanisms of therapeutic failure included both peristent spasm and spasm in a different artery in one patient. Restenosis occurred in three patients who subsequently underwent repeat revascularization. In the rare, carefully selected patient, stents may represent an adjunct in the management of focal coronary artery spasm, although currently medical therapy remains the standard initial approach. Cathet Cardiovasc Intervent 2002;56:16–20. © 2002 Wiley‐Liss, Inc.