Continuous intracoronary nitroglycerin infusion for spasm after angioplasty

K. B. Kern, L. P. Temkin, P. E. Fenster

Research output: Contribution to journalArticle

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)609-612
Number of pages4
JournalClinical cardiology
Volume6
Issue number12
DOIs
StatePublished - Dec 1983

Keywords

  • angioplasty in variant angina patients
  • angioplasty‐induced spasm
  • continuous intracoronary nitroglycerin infusion
  • coronary artery spasm
  • percutaneous transluminal angioplasty

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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