GIANTURCO-ROUBIN STENT PLACEMENT FOR VARIANT ANGINA REFRACTORY TO MEDICAL-TREATMENT

A 43-yr-old man with mild, fixed obstruction of the left anterior desc ending (LAD) coronary artery and severe, uncontrolled variant angina u nderwent placement of an endovascular stent to preserve patency of the artery, The decision for stent placement was based on several factors , including refractoriness to medical treatment and standard balloon a ngioplasty, documented spasm localized to the proximal LAD lesion, and the morbidity, mortality, and costs associated with the surgical appr oach in this type of patient. At follow-up, there was moderate resteno sis of the stented coronary segment; the vasospastic angina syndrome h ad totally resolved. (C) 1994 Wiley-Liss, Inc.