Delayed severe multivessel spasm and aborted sudden death after Taxus stent implantation

Heart. 2005 Feb;91(2):e15. doi: 10.1136/hrt.2004.049932.

Abstract

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).

Publication types

  • Case Reports

MeSH terms

  • Blood Vessel Prosthesis
  • Coronary Stenosis / drug therapy
  • Coronary Vasospasm / chemically induced*
  • Coronary Vasospasm / drug therapy
  • Death, Sudden, Cardiac / prevention & control*
  • Delayed-Action Preparations
  • Drug Implants
  • Female
  • Humans
  • Middle Aged
  • Nitroglycerin / administration & dosage*
  • Paclitaxel / adverse effects*
  • Risk Factors
  • Stents
  • Vasodilator Agents / administration & dosage*

Substances

  • Delayed-Action Preparations
  • Drug Implants
  • Vasodilator Agents
  • Nitroglycerin
  • Paclitaxel