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

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

J W Kim  1 , C G Park, H S Seo, D J Oh
Affiliations
Case Reports

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

J W Kim et al. Heart. 2005 Feb.

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).

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Figures

Figure 2
Figure 2
About 10 hours after stenting, emergency coronary angiography showed severe diffuse narrowing of three coronary arteries except at the sites of the previously implanted stents (arrows).
Figure 1
Figure 1
Coronary angiography showed total occlusion of the proximal right coronary artery and significant focal stenosis in the mid left anterior descending artery and the proximal left circumflex artery.
See this image and copyright information in PMC

References

    1. Rodgers G, Raizner A, Cromeens D, et al. Coronary spasm induced by stent implantation. J Am Coll Cardiol 1989;13:194A.
    1. Egashira K, Tomoike H, Hayashi Y, et al. Mechanism of ergonovine-induced hypercontraction of the large epicardial coronary artery in conscious dogs a month after arterial injury. Circ Res 1992;71:435–42. - PubMed

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