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  • Title: Severe acute coronary spasm following intracoronary radiation for in-stent restenosis: a case report.
    Author: Gruberg L, Waksman R.
    Journal: Cardiovasc Radiat Med; 2001; 2(3):138-42. PubMed ID: 11786319.
    Abstract:
    Intracoronary radiation therapy is currently the only available treatment for the prevention of recurrence of in-stent restenosis. We report a case of severe coronary spasm after excimer laser angioplasty, balloon angioplasty, and intracoronary gamma radiation in the right coronary artery (RCA) that resulted in an acute myocardial infarction. Treatment with 600 microg of intracoronary nitroglycerin resulted in minimal improvement; therefore, diltiazem 400 microg was administered intracoronary with total resolution of the spasm, restoring normal coronary blood flow without trace of acute dissection or thrombus inside the artery.
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