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http://dx.doi.org/10.4070/kcj.2013.43.1.48

A Patient with Repeated Catastrophic Multi-Vessel Coronary Spasm after Zotarolimus-Eluting Stent Implantation  

Rhew, Shi Hyun (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Ahn, Youngkeun (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Cho, Eun Ae (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Kim, Min Sok (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Jang, Su Young (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Lee, Ki Hong (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Lee, Min Goo (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Park, Keun Ho (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Sim, Doo Sun (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Hong, Young Joon (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Kim, Ju Han (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Jeong, Myung Ho (Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital)
Publication Information
Korean Circulation Journal / v.43, no.1, 2013 , pp. 48-53 More about this Journal
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.
Keywords
Coronary vessels; Spasm; Drug-eluting stents;
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