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消失的冠状动脉狭窄:再次强调冠状动脉介入治疗前排除冠状动脉痉挛的重要性。

The disappearing coronary stenosis: reemphasizing the importance of excluding coronary vasospasm before coronary intervention.

作者信息

Parham Walter A, Kern Morton J

机构信息

J. Gerard Mudd Cardiac Catheterization Laboratory, St. Louis University Health Sciences Center, St. Louis, Missouri 63110, USA.

出版信息

Catheter Cardiovasc Interv. 2002 Oct;57(2):224-8. doi: 10.1002/ccd.10331.

DOI:10.1002/ccd.10331
PMID:12357526
Abstract

We describe a case of resting angina with multiple angiographic stenoses that were highly suitable for stenting. These classic lesions resolved after intracoronary nitroglycerin while positioning a stent. This case reemphasizes the need to exclude vasospasm prior to any interventional coronary procedure.

摘要

我们描述了一例静息性心绞痛患者,其具有多个非常适合进行支架置入术的血管造影狭窄病变。在置入支架时,这些典型病变在冠状动脉内注射硝酸甘油后得到缓解。该病例再次强调了在任何冠状动脉介入手术前排除血管痉挛的必要性。

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引用本文的文献

1
Optical coherence tomography reveals a non-spasm pseudo-coronary artery stenosis: a case report and review of literature.光学相干断层扫描显示非痉挛性假性冠状动脉狭窄:一例病例报告及文献综述
Int J Clin Exp Med. 2013 Oct 25;6(10):1001-5. eCollection 2013.
2
Spontaneous resolution of mid-segment coronary vasospasm previously unresponsive to intracoronary nitroglycerin.中段冠状动脉痉挛先前对冠状动脉内硝酸甘油无反应但自发缓解。
Neth Heart J. 2011 Aug;19(7-8):355-6. doi: 10.1007/s12471-011-0108-2.
3
ST-segment elevation in lead augmented vector right may also be caused by diffuse left main coronary artery vasospasm without fixed stenosis.
加压单极肢体导联V(右上肢)导联的ST段抬高也可能由无固定狭窄的弥漫性左主干冠状动脉痉挛引起。
Clin Cardiol. 2008 Apr;31(4):179-82. doi: 10.1002/clc.20166.