PMID: 11923034Mar 30, 2002Paper

Limited role of coronary angioplasty and stenting in coronary spastic angina with organic stenosis

Journal of the American College of Cardiology
Yasuhiko TanabeMakoto Kumakura

Abstract

We investigated the efficacy of percutaneous coronary intervention (PCI) in patients with coronary spastic angina (CSA) and severe organic stenosis. Coronary spasm occurs at the site of organic stenosis in most patients with CSA and severe stenosis, whereas multivessel spasm occurs frequently in those with normal coronary arteries. The incidence of multivessel spasm and the efficacy of PCI in patients with CSA and severe stenosis have not been fully elucidated. Forty-five patients with CSA and severe stenosis underwent spasm provocative testing with intracoronary acetylcholine before and 7 +/- 3 months after PCI (20 patients had angioplasty and 25 patients had stenting), when all patients were free of restenosis. Spasm was induced at the site of severe stenosis in 30 patients (66.7%) with (n = 12) or without (n = 18) spasm induced in another vessel. In the remaining 15 patients, spasm was induced at a different site in the stenotic vessel and/or in another vessel. Repeat provocative tests were performed in 43 of 45 patients. Although spasm was never induced at exactly the same site of the initial stenosis that had been dilated, spasm was induced at a different site in the dilated vessel and/or in another vessel, in 33 (76.7%) o...Continue Reading

References

Dec 1, 1978·Chest·W H Gaasch
Sep 1, 1989·Journal of the American College of Cardiology·A HoshioH Mashiba
Jan 1, 1989·American Heart Journal·M PrevitaliJ A Salerno
Oct 1, 1988·Journal of the American College of Cardiology·K OkumuraK Matsuyama
May 1, 1985·Journal of the American College of Cardiology·T CorcosD D Waters
Feb 1, 1987·Journal of the American College of Cardiology·A Maseri
Jul 1, 1980·The American Journal of Cardiology·R N MacAlpin
Oct 1, 1994·Catheterization and Cardiovascular Diagnosis·J A LopezR Lufschanowski
Jul 15, 1999·The American Journal of Cardiology·A GaspardoneP A Gioffrè
Dec 8, 2000·Japanese Circulation Journal·M H JeongJ C Kang
Feb 1, 1959·Medicinski glasnik·P BOGDANOVIC

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Citations

Apr 23, 2008·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·H R Michels, H F Baars
Apr 25, 2007·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Andreas KönigVolker Klauss
Jun 9, 2005·International Journal of Cardiology·David AdlamAnthony Gershlick
May 29, 2009·Clinical and Experimental Pharmacology & Physiology·Eiji ToyotaKiyoshi Yoshida
Mar 9, 2007·International Journal of Clinical Practice·A K SiotiaS Campbell
Jul 31, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN JCS Joint Working Group
Sep 9, 2011·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Milan PavlovićDanijela Djordjević
Oct 3, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN JCS Joint Working Group
Mar 21, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Alec VishnevskyMichael P Savage
May 2, 2012·Therapeutic Advances in Cardiovascular Disease·William F DresenJohn A McPherson
Feb 16, 2016·British Journal of Hospital Medicine·Ozan M DemirWilliam Wallis
Feb 24, 2016·Circulation·Kevin M AlexanderDeepak L Bhatt
Jan 27, 2010·Circulation·Yoshinobu MorikawaHirofumi Yasue
Jan 23, 2016·Korean Circulation Journal·Soo Jin KimTae-Ho Park
Dec 28, 2006·Clinical Cardiology·Vicens MartíJosé M Domínguez de Rozas
Dec 17, 2010·World Journal of Cardiology·Ming-Jui Hung
Oct 16, 2010·Cardiovascular Therapeutics·George V Moukarbel, Larry A Weinrauch
Dec 22, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·John F BeltrameUNKNOWN Coronary Vasomotion Disorders International Study Group (COVADIS)
Oct 5, 2019·Nature Reviews. Cardiology·Thomas M WaterburyRajiv Gulati
Dec 26, 2003·Circulation Journal : Official Journal of the Japanese Circulation Society·Shuichi TakagiHiroshi Nonogi
Aug 10, 2017·Expert Review of Cardiovascular Therapy·Alec VishnevskyMichael P Savage
Jul 29, 2021·JACC. Case Reports·Michael P Savage, Tabitha G Moe

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