A Patient with Repeated Catastrophic Multi-Vessel Coronary Spasm after Zotarolimus-Eluting Stent Implantation.
- Author:
Shi Hyun RHEW
1
;
Youngkeun AHN
;
Eun Ae CHO
;
Min Sok KIM
;
Su Young JANG
;
Ki Hong LEE
;
Min Goo LEE
;
Keun Ho PARK
;
Doo Sun SIM
;
Young Joon HONG
;
Ju Han KIM
;
Myung Ho JEONG
Author Information
- Publication Type:Case Report
- Keywords: Coronary vessels; Spasm; Drug-eluting stents
- MeSH: Angina, Unstable; Constriction, Pathologic; Coronary Vessels; Drug-Eluting Stents; Humans; Incidence; Nitroglycerin; Spasm; Stents
- From:Korean Circulation Journal 2013;43(1):48-53
- CountryRepublic of Korea
- Language:English
- Abstract: Drug-eluting stents (DES) have gained great popularity because of extraordinarily low rates of restenosis. Despite these superior clinical outcomes, several cases regarding the severe multi-vessel coronary spasm, although rare, after the placement of first generation DES have been reported. We report a case of severe, multi-vessel coronary spasm that occurred two occasions after placement of a zotarolimus-eluting stent, one of the second generation DES, in a 42-year-old man with unstable angina. The first incidence was relieved by intracoronary nitroglycerin alone, and second incident, which had combined fixed stenosis was treated with intracoronary nitroglycerin and everolimus-eluting stent.
