Document Detail

Guide wire-induced coronary artery spasm during percutaneous transluminal coronary angioplasty. A case report.
MedLine Citation:
PMID:  8638877     Owner:  NLM     Status:  MEDLINE    
Coronary artery spasm induced by a guide wire is a very rare complication of percutaneous transluminal coronary angioplasty (PTCA). The authors describe a patient who developed coronary vasoconstriction distal to the dilated lesion during PTCA, which was refractory to intracoronary nitroglycerin and intravenous calcium antagonist injection and balloon angioplasty but responded promptly and completely to withdrawal of the guide wire from the coronary artery, suggesting that the spasm had been induced by the guide wire.
M Takahashi; U Ikeda; H Sekiguchi; H Fujikawa; K Shimada; T Ri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  47     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-07-05     Completed Date:  1996-07-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  305-9     Citation Subset:  IM    
Department of Cardiology, Jichi Medical School, Tochigi, Japan.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*,  instrumentation*
Calcium Channel Blockers / therapeutic use
Coronary Disease / therapy
Coronary Vasospasm / drug therapy,  etiology*
Coronary Vessels
Diltiazem / therapeutic use
Injections, Intra-Arterial
Injections, Intravenous
Nitroglycerin / therapeutic use
Reg. No./Substance:
0/Calcium Channel Blockers; 42399-41-7/Diltiazem; 55-63-0/Nitroglycerin

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