Injection of vasodilators into arterial grafts through cardiac catheter to relieve spasm.
Both native coronary artery and coronary bypass grafts may develop vasospasm after coronary artery bypass grafting. We recommend that whenever there is a high suspicion of vasospasm in arterial grafts and the native coronary artery unresponsive to or not suitable for usual vasodilator therapy, prompt selective graft arteriogram should be performed. Intraluminal injection of vasodilators such as calcium antagonists in combination with nitroglycerin may provide an effective antispastic therapy and this procedure could be lifesaving as demonstrated in the present report.
He
G W
GW
Department of Surgery, University of Hong Kong, Grantham Hospital, China. gwhe@hkucc.hku.hk
Fan
K Y
KY
Chiu
S W
SW
Chow
W H
WH
D000368:Aged; D006328:Cardiac Catheterization; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003329:Coronary Vasospasm / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D007262:Infusions, Intravenous; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000008:administration & dosage*; D017534:Radial Artery / Q000637:transplantation; D012501:Saphenous Vein / Q000637:transplantation; D013895:Thoracic Arteries / Q000637:transplantation; D014665:Vasodilator Agents / Q000008:administration & dosage*; D014700:Verapamil / Q000008:administration & dosage*
D014665:Vasodilator Agents; D014700:Verapamil; D005996:Nitroglycerin