Continuous intracoronary nitroglycerin infusion for spasm after angioplasty.

Abstract:

:A patient with reversible coronary artery spasm superimposed on fixed atherosclerotic coronary disease was treated with percutaneous transluminal angioplasty. The procedure successfully dilated the atherosclerotic lesion. However, 20 minutes later, the patient developed coronary artery spasm at the angioplasty site. Sublingual nitroglycerin, sublingual nifedipine, intravenous nitroglycerin, and repeated boluses of intracoronary nitroglycerin alleviated episodes of spasm, but failed to prevent recurrence. The patient was successfully treated with a continuous intracoronary infusion of nitroglycerin. Patients with coronary artery spasm in addition to fixed obstructive coronary disease may be at higher risk for spasm after percutaneous transluminal angioplasty. Continuous intracoronary infusion of nitroglycerin may be an effective therapy for recurrent coronary artery spasm occurring in the catheterization laboratory.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Kern KB,Temkin LP,Fenster PE

doi

10.1002/clc.4960061206

subject

Has Abstract

pub_date

1983-12-01 00:00:00

pages

609-12

issue

12

eissn

0160-9289

issn

1932-8737

journal_volume

6

pub_type

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