Coronary stent for variant angina: atypical presentation.

Abstract

Pharmacological therapy remains the treatment of choice for Prinzmetal angina. We report an unconventional approach of coronary artery stenting to treat coronary artery spasm in variant angina refractory to triple drug therapy. Favorable clinical and angiographic results and a negative Ergonovine test, under less aggressive medical therapy, are valuable arguments for stenting. Four-month angiographic follow-up showed absence of intrastent restenosis with a negative Ergonovine test. However, long-term follow-up is necessary before advocating this as a systematic approach.

• Authors: S Gupta, F Schiele, A Vuillemenot, F Appfel, J P Bassand
• Journal: Catheterization and cardiovascular diagnosis (Cathet Cardiovasc Diagn) Vol. 45 Issue 4 Pg. 439-41 (Dec 1998) ISSN: 0098-6569 [Print] United States
• PMID: 9863756 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Angina Pectoris, Variant (diagnosis, drug therapy, therapy)
• Coronary Angiography
• Humans
• Male
• Recurrence
• Stents
• Treatment Failure