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Clinical Case Study2017 Dec 7;2017.

JOURNAL：BMJ Case Rep. Article Link

Catastrophic catheter-induced coronary artery vasospasm successfully rescued using intravascular ultrasound imaging guidance

Kodaira M, Tabei R, Kuno T et al. Keywords: clinical diagnostic tests; ischaemic heart disease

ABSTRACT

A 46-year-old man underwent coronary angiography for stable angina. He developed inferior ST-segment myocardial infarction during the angiography. Intravascular ultrasound (IVUS) findings suggested coronary vasospasm. Intracoronary administration of isosorbide dinitrate restored the coronary flow. This case illustrates the essential role IVUS imaging played in establishing the diagnosis of catheter-induced coronary vasospasm.
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