title: Directional coronary atherectomy for coronary artery spasm refractory to medical therapy.
abstract: A patient with severe medically refractory coronary artery spasm was treated successfully with coronary atherectomy of a mild (40%) left anterior descending artery stenosis. Before the procedure, the patient was dependent on intravenous nitroglycerin because of daily episodes of angina with ST-segment elevation despite receiving multiple combinations of antianginal therapies. Clinical response to coronary atherectomy was prompt and dramatic.
authors.affiliation: Department of Cardiology, St. Luke's Hospital, Jacksonville, Florida, USA.
authors.forename: T C
authors.initials: TC
authors.lastname: Hilton
authors.forename: J L
authors.initials: JL
authors.lastname: Blackshear
authors.forename: B
authors.initials: B
authors.lastname: Utset
authors.forename: M J
authors.initials: MJ
authors.lastname: Kern
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D017225:Atherectomy, Coronary; D003327:Coronary Disease / Q000628:therapy; D003329:Coronary Vasospasm / Q000188:drug therapy / Q000628:therapy*; D005260:Female; D006801:Humans; D005996:Nitroglycerin / Q000627:therapeutic use
chemical_list: D005996:Nitroglycerin