A Case in Which Stent Insertion is Considered to Have Triggered Contrast Medium-Induced Coronary Vasospasm
スポンサーリンク
概要
- 論文の詳細を見る
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). Although the vessel became partially occluded after 7 months, it was redilated by PTCA. Follow-up angiography of the RCA and left coronary artery (LCA) was performed 3 months later. Chest pain with bradycardia and hypotension occurred immediately after this examination, and ST elevation appeared in ECG leads II, III, and aV_F. Repeat angiography of the RCA confirmed complete occlusion due to a spasm at a site proximal to the GR-II stent. The spasm was resolved by intracoronary infusion of isosorbide dinitrate (ISDN), and PTCA was carried out for extensive recurrent restenosis of the RCA; however, wascular dissection developed at the distal end of the GR-II stent. Therefore, a Palmaz-Schatz (P-S) stent was placed such that its proximal end overlapped the distal end of the GR-II stent. Follow-up angiography 3 months later showed no restenosis, but an episode of vasospasm similar to the previous one occurred immediately after left ventriculography. The RCA was completely occluded proximal to the GR-II stent because of spasm. Although this spasm was gradually relieved by intracoronary infusion of ISDN, marked spasm was also observed distal to the P-S stent; complete relief was achieved by infusion of additional ISDN.
- 社団法人日本循環器学会の論文
- 1999-03-20
著者
-
Miyahara Yoshiyuki
the Second Department of Internal Medicine, Nagasaki University, School of Medicine
-
Ikeda Satoshi
the Second Department of Internal Medicine, Nagasaki University, School of Medicine
-
Kohno Shigeru
the Second Department of Internal Medicine, Nagasaki University, School of Medicine
-
Shimokawa Isao
Nagasaki Univ. Nagasaki Jpn
-
Miyazaki Y
Dep. Of Lab. Medicine Nagasaki Univ. Graduate School Of Biomedical Sciences Nagasaki Univ. Hospital
-
SAKAI Hideaki
Department of Applied Physics, University of Tokyo
-
HARADA Takashi
Department of Dermatology, Tokyo Women's Medical University Medical Center East
-
Numata Tetsuya
Department of Internal Medicine II, University of Occupational and Environmental Health
-
Numata Tetsuya
Department Of Cardiology Itabashi-chuo Medical Center
-
Numata Tetsuya
Department Of Cardiology Kitakyushu City Yahata Hospital
-
Muroya Takahiro
Department of Cardiology, Kitakyushu City Yahata Hospital
-
Ohe Haruto
Department of Cardiology, Kitakyushu City Yahata Hospital
-
Ohe Nobuharu
Department of internal Medicine, Kitakyushu City Yahata Hospital
-
Ohe Haruto
Department Of Cardiology Kitakyushu City Yahata Hospital
-
Ohe Nobuharu
Department Of Internal Medicine Kitakyushu City Yahata Hospital
-
Muroya Takahiro
Department Of Cardiology Sasebo Municipal General Hospital
-
Miyahara Yoshiyuki
2nd Department Of Internal Medicine Nagasaki University School Of Medicine
-
Harada Takashi
Division Of Renal Care Unit Nagasaki University School Of Medicine
-
Miyahara Yoshiyuki
The Second Department Of Internal Medicine Nagasaki University
-
Kohno Shigeru
The Second Department Of Internal Medicine Nagasaki University
-
Muroya Takahiro
Second Department Of Internal Medicine Nagasaki University Of School Medicine
-
Miyazaki Yoshitsugu
Second Department Of Internal Medicine Nagasaki University Graduate School Of Biomedical Sciences
-
Sakai Hideaki
Department Of Cardiology Kitakyushu City Yahata Hospital
-
Sakai Hideaki
Department Of Applied Mathematics And Physics Faculty Of Engineering Kyoto University
-
Kohno Shigeru
The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society
-
Harada T
Nec Corp. Kawasaki‐shi Jpn
-
Harada Takashi
Department Of Dermatology Tokyo Women's Medical University Medical Center East
-
Harada Takashi
Department Of Applied Physics Faculty Of Engineering Tohoku Gakuin University
関連論文
- Echocardiographic Evaluation of Right Cardiac Function in Patients with Chronic Pulmonary Diseases
- Two sporadic cases of infections due to Klebsiella pneumoniae resistant to expanded-spectrum cephalosporins in Japan
- Comparison of the grade evaluated by "Liver damage" of Liver Cancer Study Group of Japan and Child-Pugh classification in patients with hepatocellular carcinoma
- Synchronized disappearance of serum HCV-RNA, anti-U1 RNP, anti-La/SS-B, and anti-Scl-70 in a patient with chronic hepatitis
- Comparison of Complement Fixation and Microimmunofluorescence Tests in Respiratory Infections Caused by Chlamydia and an Evaluation of the Serum Amyloid A Protein in Chlamydial Infections
- Combined Use of Clarithromycin and Antimycobacterial Agents in Mycobacterium avium Complex Chronic Pulmonary Infection
- Infections in Patients with Liver Cirrhosis and Hepatocellular Carcinoma
- PJ-585 Effects of Nasal Continuous Positive Airway Pressure on Left Ventricular Mass and Geometry in Obstructive Sleep Apnea Syndrome(PJ098,Obesity/SAS (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-212 Low-Density Lipoprotein Subfractions Separated by Anion-Exchange High Performance Chromatography Reflect Recent Oxidative Stress in Hypertensive Patients(PE036,Hypertension, Clinical 2 (H),Poster Session (English),The 73rd Annual Scientific Meeting
- PJ-675 Abdominal Visceral Fat is Associated with not only Arteriosclerosis, but also Coronary Artery Spasm(Diabetes / Obesity / Metabolic syndrome(13)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Primary High-Grade Myofibroblastic Sarcoma Arising From the Pericardium
- Cluster Differentiation-36 Deficiency Type 1 and Acute Coronary Syndrome Without Major Cardiovascular Risk Factors : Case Report
- PJ-330 Evaluation of Left Ventricular Function Using Tei-index in Obstructive Sleep Apnea Syndrome and Effect of Nasal Continuous Positive Airway Pressure(Cardiac function, basic/clinical-4 (M) PJ56,Poster Session (Japanese),The 70th Anniversary Annual Sc
- PE-422 IQGAP1 Regulates Reactive Oxygen Species-dependent Endothelial Cell Migration through Interacting with NAD (P) H Oxidase Subunit (Nox2)(Molecular biology, vascular-2 (H) PE71,Poster Session (English),The 70th Anniversary Annual Scientific Meeting o
- Chest Pain and ST Segment Depression Caused by Expansion of Gastric Tube Used for Esophageal Reconstruction
- Pulmonary Hypertension in a Patient with Essential Thrombocythemia
- Pulmonary Hypertension in a Patient with Essential Thrombocythemia
- A Probable Case of Aspiration Pneumonia Caused by Candida glabrata in a Non-neutropenic Patient with Candidemia
- Clinical Characteristics of Pneumonia Caused by Penicillin Resistant and Sensitive Streptococcus pneumoniae in Japan
- Synergistic effect of ofloxacin and fluconazole against azole-resistant Candida albicans
- Antifungal activity of a new triazole, voriconazole(UK-109496), against clinical isolates of Aspergillus spp
- Evaluation of Sandwich ELISA Galactomannan Test in Samples of Positive LA Test and Positive Aspergillus Antibody
- Effect of sequential combination of amphotericin B and azole antifungal agents against Aspergillus fumigatus
- Elevated Levels of Tenascin-C in Patients with Cryptogenic Organizing Pneumonia
- Clinical Characteristics, Diagnosis and Management of Patients With Pulmonary Thromboembolism Who are Not Diagnosed in the Acute Phase and Not Classified as Chronic Thromboembolic Pulmonary Hypertension
- Recent Developments in Diagnostic Imaging Techniques and Management for Acute Pulmonary Embolism : Multicenter Registry by The Japanese Society of Pulmonary Embolism Research
- Incidence and Clinical Characteristics of Chronic Pulmonary Thromboembolism in Japan Compared With Acute Pulmonary Thromboembolism : Results of a Multicenter Registry of the Japanese Society of Pulmonary Embolism Research
- Adult Still's disease associated with cytomegalovirus infection
- A case of splenic abscess during treatment of interstitial pneumonia.
- PSEUDOXANTHOMA ELASTICUM WITH RECURRENT GASTRIC HEMORRHAGE MANAGED BY ENDOSCOPIC MECHANICAL HEMOSTASIS
- Subserosal Inflammatory Pseudotumor Causing Intussusception
- Giant Cell Interstitial Pneumonia in a 15-year-old Boy
- Successful Removal of a Left Main Coronary Artery Thrombus Induced by Vasospasm of the Aorta After the Injection of Contrast Medium
- Clinical Evaluation of 61 Patients with Pulmonary Aspergilloma
- Invasive Pulmonary Aspergillosis Diagnosed Early by Polymerase Chain Reaction Assay
- Detection of Mycobacterium tuberculosis in Preserved Tuberculous Lymph Nodes by Polymerase Chain Reaction
- Clinical Evaluation of Catheter-Related Fungemia and Bacteremia
- Hepatocellular Carcinoma in a Male Patient with Early Stage (Stage I) Primary Biliary Cirrhosis
- A Case in Which Stent Insertion is Considered to Have Triggered Contrast Medium-Induced Coronary Vasospasm
- High-resolution melting analysis for a reliable and two-step scanning of mutations in the tyrosine kinase domain of the chimerical bcr-abl gene.
- Recent insights into digestive motility in functional dyspepsia
- Immune thrombocytopenic purpura in patients with ulcerative colitis
- Characteristics of Acute Pulmonary Thromboembolism in Patients Hospitalized for Medical Illness : Results of a Multicenter Registry in JaSPER (Pulmonary Circulation 4 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Vasospastic Angina Likely Related to Cisplatin-containing Chemotherapy and Thoracic Irradiation for Lung Cancer
- Bronchoscopic Therapy for Mucosa-associated Lymphoid Tissue Lympohma of the Trachea
- P-Glycoprotein Is Positively Correlated with p53 Protein Accumulation in Human Colorectal Cancers
- The Multidrug Resistance-associated Protein Gene Confers Drug Resistance in Human Gastric and Colon Cancers
- A Prospective Study of Bronchoscopy for Endotracheobronchial Tuberculosis
- Chronic Bronchial Foreign Body Mimicking Peripheral Lung Tumor
- Endoscopic submucosal dissection of a minute intramucosal adenocarcinoma in Barrett's esophagus.
- A Case of Autoimmune Hepatitis Associated with Idiopathic Thrombocytopenic Purpura and Chronic Thyroiditis
- Effectiveness and Safety of Leukocytapheresis Therapy for Ulcerative Colitis
- Influence of Helicobacter pylori infection on in vitro responsiveness of gastric fundus to agonists and to stimulation of enteric nerves in Mongolian gerbils
- Spontaneous Regression of Colonic Lesions in Adult T-cell Leukemia
- Ulcerative colitis complicating pseudomembranous colitis of the right colon
- Hepatocellular Carcinoma with Direct Invasion to the Duodenal Bulb, Presenting with Gastrointestinal Bleeding
- Sludge and stone formation in the gallbladder in bedridden elderly patients with cerebrovascular disease : influence of feeding method
- GASTRIC SUBMUCOSAL HETEROTOPIA OF THE IMMATURE GASTRIC GLANDS WITH ENDOSCOPIC FEATURE MIMICKING CARCINOID TUMOR
- Chronic Nonspecific Jejunitis - A -
- SUCCESSFUL ENDOSCOPIC BAND LIGATION FOR TREATMENT OF POSTPOLYPECTOMY HEMORRHAGE
- Primary biliary cirrhosis associated with idiopathic retroperitoneal fibrosis
- Response to Urinary Trypsin Inhibitor Therapy in Ulcerative Colitis is Associated With a Decrease in Mast Cell Count in the Colonic Mucosa
- Acinar cell carcinoma of the pancreas associated with hypoglycemia: Involvement of "big" insulin-like growth factor-II
- A Case of Glucagonoma with Liver Metastasis : Complete Response to Dacarbazine
- Community-acquired Chlamydia pneumoniae Pneumonia in Japan : A Prospective Multicenter Community-acquired Pneumonia Study
- Reduced Immune Function and Malnutrition in the Elderly
- The first telithromycin-resistant Streptococcus pneumoniae isolate in Japan associated with erm(B) and mutations in 23S rRNA and riboprotein L4.
- A Small Outbreak of Pulmonary Tuberculosis in Non-close Contact Patrons of a Bar
- Hepatic Artery Pseudoaneurysms in a Patient Treated for Miliary Tuberculosis
- Pulmonary Nocardia otitidiscaviarum Infection in a Patient with Chronic Respiratory Infection
- THE RELATIONSHIP BETWEEN CORONARY AND CEREBRAL ARTERIOSCLEROSIS
- IS THERE A SPECIFIC LINKAGE BETWEEN OBSTRUCTIVE SLEEP APNEA SYNDROME AND GASTROESOPHAGEAL REFLUX DISEASE?
- PE-346 Evaluation of Glucose Tolerance, Post-prandial Hyperglycemia and Hyperinsulinemia Influencing to the Incidence of Coronary Heart Disease(Diabetes/Obesity/Metabolic syndrome-6 (H) PE58,Poster Session (English),The 70th Anniversary Annual Scientific
- Disopyramide-induced Pneumonitis, Diagnosed by Lymphocyte Stimulation Test Using Bronchoalveolar Lavage Fluid
- Type II Diabetes Mellitus and Primary Sjogren's Syndrome Complicated by Pleural Effusion
- Evaluation of venous thromboembolism and coagulation-fibrinolysis markers in Japanese patients with inflammatory bowel disease
- Liddle's Syndrome in an Elderly Woman
- Astemizole-Induced Torsades de Pointes in a Patient With Vasospastic Angina
- PJ-608 Clinical Investigation of Idiopathic Dilation of the Right Atrium(Valvular Heart Disease/Pericarditis/Cardiac Tumor 3 (M) : PJ102)(Poster Session (Japanese))
- Diagnosis of Measles Pneumonia from Bronchoalveolar Lavage Fluid by Reverse-Transcriptase Polymerase Chain Reaction : Case Report
- Semi-Quantitative Non-Radioactive In Situ Hybridization and Its Clinical Application.
- Decreasing the Pressure Gradient of the Left Ventricular Outflow Tract by Single-lead VDD Pacing in a Patient with Hypertrophic Obstructive Cardiomyopathy
- Arteriovenous Malformation of the Bronchial Artery Showing Endobronchial Protrusion
- PJ-523 Dialysis-Induced Alterations in Tei index(Echo/Doppler 16 (I) : PJ88)(Poster Session (Japanese))
- Role of Autonomic Nervous Dysfunction in Electrocardio-graphic Abnormalities and Cardiac Injury in Patients With Acute Subarachnoid Hemorrhage
- Exposure of Oxidized LDL Impairs Inflammatory Stimulation of Glutathione Synthesis in Macrophages
- Evaluation of Venous Thromboembolism and Coagulation-Fibrinolysis Markers in Inflammatory Bowel Disease
- Relationship Between ECG Findings and Pulmonary Artery Pressure in Patients With Acute Massive Pulmonary Thromboembolism
- Evaluation of Right Ventricular overload by ^I-MIBG, ^I-BMIPP , and ^Tc-MIBI
- Perioperative corticosteroids for intermittent and mild persistent asthma
- Increasing Threat of Fungemia in Japan
- Pontiac Fever: Non-Pneumonic Form of Legionellosis
- Successful Treatment of Chronic Pulmonary Thromboembolism by Long-term Intermittent Administration of Milrinone, a Phosphodiesterase-III Inhibitor
- Characteristic Clinical Findings of Reversible Left Ventricular Dysfunction
- Diagnostic Value of Pulsed Doppler Echocardiography in Acute Pulmonary Thromboembolism : Comparison With Pulmonary Angiography and Pulmonary Artery Pressure
- Adrenomedullin is not Related to Acute Hypoxic Pulmonary Vascular Response in Patients with Chronic Respiratory Disease
- Recent Developments in Diagnostic Imaging Techniques and Management for Acute Pulmonary Embolism : Multicenter Registry by The Japanese Society of Pulmonary Embolism Research
- Community-acquired Chlamydia pneumoniae Pneumonia in Japan : A Prospective Multicenter Community-acquired Pneumonia Study
- Linezolid-resistant Staphylococcus aureus isolated from 2006 through 2008 at six hospitals in Japan
- Low Glomerular Filtration Rate Is Associated With High Prevalence of Vasospastic Angina