Catheter-Induced Coronary Spasm: Serious But Preventable

J Invasive Cardiol. 2017 Dec;29(12):E202.

Abstract

While catheter-induced spasm is considered to be rare, it needs to be ruled out (especially in cases of left main stenosis) to avoid unnecessary revascularization. We present a patient where the underlying tendency for coronary spasm was so high, the severe spasm was possibly the underlying cause of a prior cardiac arrest episode.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angina Pectoris* / diagnosis
  • Angina Pectoris* / etiology
  • Cardiac Catheterization / instrumentation*
  • Cardiac Catheters / adverse effects*
  • Coronary Angiography / methods
  • Coronary Vasospasm* / diagnostic imaging
  • Coronary Vasospasm* / etiology
  • Electrocardiography / methods
  • Humans
  • Injections, Intra-Arterial
  • Male
  • Nitroglycerin / administration & dosage*
  • Treatment Outcome
  • Vasodilator Agents / administration & dosage

Substances

  • Vasodilator Agents
  • Nitroglycerin