Guide wire-induced coronary artery spasm during percutaneous transluminal coronary angioplasty. A case report.
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.
Takahashi
M
M
Department of Cardiology, Jichi Medical School, Tochigi, Japan.
Ikeda
U
U
Sekiguchi
H
H
Fujikawa
H
H
Shimada
K
K
Ri
T
T
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation*; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D003327:Coronary Disease / Q000628:therapy; D003329:Coronary Vasospasm / Q000188:drug therapy / Q000209:etiology*; D003331:Coronary Vessels; D004110:Diltiazem / Q000627:therapeutic use; D006801:Humans; D007269:Injections, Intra-Arterial; D007275:Injections, Intravenous; D008297:Male; D005996:Nitroglycerin / Q000627:therapeutic use
D002121:Calcium Channel Blockers; D004110:Diltiazem; D005996:Nitroglycerin