caa a22 4500 477112749 CHVBK 20180405111614.0 cr unu---uuuuu 170330e19960501xx s 000 0 eng 10.1007/BF01745175 doi (NATIONALLICENCE)springer-10.1007/BF01745175 A rare indication for stenting: Persistent coronary artery spasm [Elektronische Daten] [Hakan Kültürsay, Levent Can, Serdar Payzin, Cüneyt Türkoğlu, Ahmet Altintiğ, Mustafa Akin, Azem Akilli] Summary: A 34-year-old man presenting with angina both at rest and on exertion was investigated. He developed severe ST segment elevation and a brief period of ventricular tachycardia during an exercise tolerance test. On coronary angiography, 60% fixed luminal narrowing was observed in the proximal left anterior descending coronary artery and a severe spasm developed at this site, leading to temporary total occlusion of the vessel. Successful coronary angioplasty (PTCA) was performed on this lesion, with a residual 15% narrowing. However, the patient had a recurrence of angina 3 weeks later, despite being administered high doses of nitrate and calcium antagonist. During control angiography, the lesion severity was unchanged, but spasm developed again following contrast injection. At this time, a Palmaz-Schatz stent was implanted. Calcium antagonist, nitrate, Ticlopidine and low molecular weight heparin therapy was started. There was no recurrence of symptoms during a 3-month follow-up. The exercise tolerance test, and myocardial perfusion scintigraphy findings were normal and the stent was patent without restenosis at the end of the 3-month follow-up. Intracoronary stent implantation for persistent coronary spasm refractory to conventional medical therapy can be considered a feasible and attractive treatment modality for the control of symptoms. Springer-Verlag, 1996 Variant angina nationallicence Coronary stent nationallicence Kültürsay Hakan Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut Can Levent Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut Payzin Serdar Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut Türkoğlu Cüneyt Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut Altintiğ Ahmet Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut Akin Mustafa Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut Akilli Azem Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut Heart and Vessels Springer-Verlag 11/3(1996-05-01), 165-168 0910-8327 11:3<165 1996 11 380 https://doi.org/10.1007/BF01745175 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01745175 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kültürsay Hakan Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut NATIONALLICENCE 700 1- Can Levent Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut NATIONALLICENCE 700 1- Payzin Serdar Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut NATIONALLICENCE 700 1- Türkoğlu Cüneyt Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut NATIONALLICENCE 700 1- Altintiğ Ahmet Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut NATIONALLICENCE 700 1- Akin Mustafa Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut NATIONALLICENCE 700 1- Akilli Azem Department of Cardiology, Ege University, Medical School, Izmir, Turkey aut NATIONALLICENCE 773 0- Heart and Vessels Springer-Verlag 11/3(1996-05-01), 165-168 0910-8327 11:3<165 1996 11 380 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer