Left ventriculography induced coronary artery spasm

Fleming, Gregory A.; Shanes, Jeffrey G.

doi:10.1002/clc.4960071009

Cited by 9 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Certainly, the association between the left ventricular angiogram and the spasm of the left coronary artery might have been fortuitous and not causally related, but the close temporal association between both events suggests a direct cause and effect relationship. There are also some experimental and clinical data giving support to this hypothesis, namely: the spasmogenic effect of the angiographic dye observed in experimental studies (Bentley and Henry, 1980); the additional mechanical stimulation of the left ventricle by the dye bolus (Fleming and Shanes, 1984); and the sudden increase of the sypathetic tone following the chest discomfort provoked by the left ventricular angiogram (Yasue et ul., 1976).…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Vasospastic angina mimicking graft failure and spontaneously appearing after left ventriculography

Fournier

Hernández

F-Cortacero

et al. 1987

Clinical Cardiology

View full text Add to dashboard Cite

A 49‐year‐old female with significant (75%) left main coronary artery stenosis was initially considered to have developed early obstruction of a saphenous vein graft to the left anterior descending coronary artery, because of recurrent postoperative angina. In a second catheterization study, left ventriculography showed normal contractility of all segments and was immediately followed by the onset of angina and angiographic demonstration of diffuse spasm of the entire left coronary artery system beyond the stenosis. Vasospasm of the left coronary artery before or during ventriculography was unlikely in the absence of regional contractility impairment. The close temporal association between the left ventricular angiogram and the angiographic demonstration of vasospasm suggested a direct cause and effect relationship.

show abstract

Section: Discussionmentioning

confidence: 94%

“…Finally, it should be emphasized that although coronary artery spasm induced by left ventriculography has been reported only recently (Fleming and Shanes, 1984), it is certainly possible that some of the spontaneous vasomotor disorders occasionally observed during angiographic studies are triggered by left ventriculography.…”

Section: Discussionmentioning

confidence: 99%

Vasospastic angina mimicking graft failure and spontaneously appearing after left ventriculography

Fournier

Hernández

F-Cortacero

et al. 1987

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

“…In others, catheterinduced spasm can be induced by mechanical imtation of the coronary artery. I Reports of coronary artery spasm provoked by coronary arteriography or left ventriculography have also appeared.2, 3 We present two cases of coronary artery spasm with hypotension and urticaria occurring subsequent to administration of contrast material during cardiac angiography .…”

Section: Introductionmentioning

confidence: 93%

Coronary artery spasm during cardiac angiography

Satoh

Matsuda

Sakai

et al. 1990

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4][5][6] In the case reported here, a stent was placed for restenosis after percutaneous transluminal coronary angioplasty (PTCA) in a patient with no history of coronary vasospastic angina pectoris, but spasm appeared to be induced by the contrast medium Iomeprol. …”

mentioning

confidence: 99%

A Case in Which Stent Insertion is Considered to Have Triggered Contrast Medium-Induced Coronary Vasospasm

et al. 1999

View full text Add to dashboard Cite

he use of contrast medium has recently increased in various fields, including coronary angiography, but reports of induction of spasm in the coronary artery caused by contrast media are rare. [1][2][3][4][5][6] In the case reported here, a stent was placed for restenosis after percutaneous transluminal coronary angioplasty (PTCA) in a patient with no history of coronary vasospastic angina pectoris, but spasm appeared to be induced by the contrast medium Iomeprol. Case ReportA 75-year-old man was admitted to our hospital on July 24, 1996, with a diagnosis of unstable angina pectoris. Coronary risk factors included hypertension, diabetes mellitus, and a history of smoking. Emergency coronary angiography, performed on July 24, showed 75% stenosis in segment 7 of the left anterior descending coronary artery (LAD) and 90% stenosis in segment 13 of the left circumflex coronary artery (LCx). The right coronary artery (RCA) exhibited chronic complete occlusion in segment 2Japanese Circulation Journal Vol.63, April 1999 but received well-developed collaterals from the LAD. Three-vessel PTCA was performed at the patient's request. The LCx and the RCA were successfully dilated by plain old balloon angioplasty (POBA) alone. Because the PTCA balloon caused vascular dissection in the LAD, a PalmazSchatz stent (P-S stent) was inserted. Repeat angiography 8 months later revealed restenosis in the RCA, and a 3.0×20 mm Gianturco-Roubin II stent (GR-II stent) was inserted into the RCA from segment 1 to segment 2. Further followup angiography performed 7 months later showed subtotal occlusion at the same site; PTCA was repeated and the vessel was successfully dilated. However, upon follow-up angiography 3 months later, chest pain occurred with bradycardia and hypotension immediately after completion of left and right coronary angiography; ST elevation was noted in ECG leads II and III, and aVF. Repeat angiography showed complete occlusion of the RCA that we considered to be due to a spasm occurring proximal to the GR-II stent. No signs of allergy such as urticaria, conjunctivitis or facial edema were noted at this point. Spasm was resolved by administration of 1 mg of atropine sulfate, 0.5 mg of norepinephrine, and an intracoronary infusion of 15 mg of isosorbide dinitrate (ISDN). Although 75% stenosis according to the American Heart Association (AHA) scale remained at the site of stent insertion after resolution of the spasm, PTCA was performed again because subtotal occlusion had been observed previously; the lesion was diffuse, and the patient had strongly desired the procedure. Because balloon-induced vascular dissection was observed distal to the GR-II stent at this point, a P-S stent was inserted into Jpn Circ J 1999; 63: 315 -318 (Received November 12, 1998; revised manuscript received December 24, 1998; accepted December 25, 1998 A Gianturco-Roubin II (GR-II) stent was inserted in a 75-year-old man who developed restenosis of the right coronary artery (RCA) after percutaneous transluminal coronary angioplasty (PTCA). Al...

show abstract

Left ventriculography induced coronary artery spasm

Cited by 9 publications

References 9 publications

Vasospastic angina mimicking graft failure and spontaneously appearing after left ventriculography

Vasospastic angina mimicking graft failure and spontaneously appearing after left ventriculography

Coronary artery spasm during cardiac angiography

A Case in Which Stent Insertion is Considered to Have Triggered Contrast Medium-Induced Coronary Vasospasm

Contact Info

Product

Resources

About