L. Gregorini et al., THE ALPHA-1-ADRENERGIC BLOCKING-AGENT URAPIDIL COUNTERACTS POSTROTATIONAL ATHERECTOMY ELASTIC RECOIL WHERE NITRATES HAVE FAILED, The American journal of cardiology, 79(8), 1997, pp. 1100
Calcium antagonist pretreatment and intracoronary high doses of nitrat
es (9 mg of isosorbide dinitrate) do not counteract coronary vasoconst
riction occurring after rotational atherectomy. In 30 patients undergo
ing Rotablator atherectomy, intracoronary injection of the alpha(1)-sy
mpathetic blocker urapidil abolished or prevented significant vasocons
triction occurring 15 minutes after the procedure despite repeated inj
ections of nitrates.