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KMID : 0368120130430010048
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Korean Circulation Journal
2013 Volume.43 No. 1 p.48 ~ p.53
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A Patient with Repeated Catastrophic Multi-Vessel Coronary Spasm after Zotarolimus-Eluting Stent Implantation
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Rhew Shi-Hyun
Cho Eun-Ae
Kim Min-Sok
Lee Ki-Hong
Jang Su-Young
Ahn Young-Keun
Lee Min-Goo
Park Keun-Ho
Sim Doo-Sun
Hong Young-Joon
Kim Ju-Han
Jeong Myung-Ho
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Abstract
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Drug-eluting stents (DES) have gained great popularity because of extraordinarily low rates of restenosis. Despite these superior clinical outcomes, several cases regarding the severe multi-vessel coronary spasm, although rare, after the placement of first generation DES have been reported. We report a case of severe, multi-vessel coronary spasm that occurred two occasions after placement of a zotarolimus-eluting stent, one of the second generation DES, in a 42-year-old man with unstable angina. The first incidence was relieved by intracoronary nitroglycerin alone, and second incident, which had combined fixed stenosis was treated with intracoronary nitroglycerin and everolimus-eluting stent.
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KEYWORD
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Coronary vessels, Spasm, Drug-eluting stents
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FullTexts / Linksout information
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Listed journal information
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