Delayed severe multivessel spasm and aborted sudden death after Taxus stent implantation.
Sudden cardiac arrest associated with major spasm of three coronary arteries was observed about 10 hours after Taxus stent insertion in a three vessel lesion and was successfully treated by intracoronary glyceryl trinitrate infusion. This case illustrates a potential risk associated with drug eluting stent and alerts clinicians to the life threatening risk of spasm when stenting multiple vessels with drug eluting stent (especially the Taxus stent).
Kim
J W
JW
Department of Cardiology, Guro Hospital Cardiovascular Centre, Korea University, Seoul, South Korea.
Park
C G
CG
Seo
H S
HS
Oh
D J
DJ
D001807:Blood Vessel Prosthesis; D023921:Coronary Stenosis / Q000188:drug therapy; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000188:drug therapy; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D003692:Delayed-Action Preparations; D004343:Drug Implants; D005260:Female; D006801:Humans; D008875:Middle Aged; D005996:Nitroglycerin / Q000008:administration & dosage*; D017239:Paclitaxel / Q000009:adverse effects*; D012307:Risk Factors; D015607:Stents; D014665:Vasodilator Agents / Q000008:administration & dosage*
D003692:Delayed-Action Preparations; D004343:Drug Implants; D014665:Vasodilator Agents; D005996:Nitroglycerin; D017239:Paclitaxel