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Catheter-Induced Coronary Spasm: Serious But Preventable
Farshad Forouzandeh1, Alexander V Smolensky
1Case Western Reserve University (CWRU) School of Medicine, 11100 Euclid Ave, Mailstop LKS 5038, Cleveland, OH 44106 USA. Farshad.Forouzandeh@case.edu.
The Journal of Invasive Cardiology
|December 6, 2017
Summary
Catheter-induced coronary artery spasm is rare but crucial to diagnose, especially with left main stenosis, to prevent unnecessary procedures. This case highlights severe spasm as a potential cause of cardiac arrest.
Area of Science:
- Cardiology
- Interventional Cardiology
- Clinical Case Reports
Background:
- Coronary artery spasm can mimic obstructive coronary artery disease, leading to diagnostic challenges.
- Left main coronary artery stenosis requires careful evaluation to avoid premature or unnecessary interventions.
- Catheter-induced coronary artery spasm is an infrequent complication during cardiac procedures.
Observation:
- A patient presented with a history suggestive of severe coronary artery spasm.
- The patient's condition was potentially linked to a previous cardiac arrest episode.
- Diagnostic workup was performed to assess for underlying coronary artery abnormalities.
Findings:
- The patient exhibited a high underlying tendency for coronary artery spasm.
- Severe coronary artery spasm was identified as a likely contributing factor to the patient's cardiac event.
- Catheter-induced spasm was considered and ruled out as the primary cause.
Implications:
- Accurate diagnosis of coronary artery spasm is vital to guide appropriate treatment strategies.
- Recognizing severe spasm can prevent unnecessary revascularization procedures in high-risk patients.
- This case underscores the importance of considering spasm in patients with unexplained cardiac events and stenosis.
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