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Elective single‐vessel percutaneous coronary intervention in a vegetative state patient
Author(s) -
Watanabe Tomoyuki,
Sugiyama Masaki,
Satoh Takeshi,
Makigami Kuniko
Publication year - 2010
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/j.1447-0594.2009.00567.x
Subject(s) - medicine , percutaneous coronary intervention , intervention (counseling) , cardiology , medical emergency , emergency medicine , nursing , myocardial infarction
A 73‐year‐old male in a persistent vegetative state underwent percutaneous coronary intervention (PCI) for unstable angina with multiple‐vessel stenosis. The maximum dose pharmaceutical therapy was ineffective in controlling his symptoms. The goal of the procedure was to alleviate the patient's severe chest pain and vomiting with minimal invasion and risk. The procedure was effective despite treating only the culprit artery. Symptoms disappeared immediately after PCI and the patient remained attack free for 12 months. With the consent of the patient's family and support of medical staff, elective single‐vessel PCI can be a practical and effective treatment option for refractory angina in patients with impaired consciousness.