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Catastrophic catheter-induced coronary artery vasospasm successfully rescued using intravascular ultrasound imaging guidance.

Abstract
A 46-year-old man underwent coronary angiography for stable angina. He developed inferior ST-segment myocardial infarction during the angiography. Intravascular ultrasound (IVUS) findings suggested coronary vasospasm. Intracoronary administration of isosorbide dinitrate restored the coronary flow. This case illustrates the essential role IVUS imaging played in establishing the diagnosis of catheter-induced coronary vasospasm.
AuthorsMasaki Kodaira, Ryota Tabei, Toshiki Kuno, Yohei Numasawa
JournalBMJ case reports (BMJ Case Rep) Vol. 2017 (Dec 07 2017) ISSN: 1757-790X [Electronic] England
PMID29222206 (Publication Type: Case Reports, Journal Article)
Copyright© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Topics
  • Angina, Stable (diagnostic imaging)
  • Catheters (adverse effects)
  • Coronary Angiography (adverse effects)
  • Coronary Vasospasm (diagnosis, diagnostic imaging, etiology, surgery)
  • Diagnosis, Differential
  • Humans
  • Male
  • Middle Aged
  • Ultrasonography, Interventional

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