A Life-threatening Focal Refractory Vasospasm: Is Stenting the Last or First Option?

Coronary vasospasm typically occurs in the epicardial coronary arteries and presents with a range of clinical manifestations.Its management is primarily conservative, involving medical therapy with nitrates and calcium channel blockers.Percutaneous coronary intervention (PCI) is rarely required and is generally not considered the first-line treatment.However, for cases of focal vasospasm, percutaneous coronary stenting may serve as a definitive therapeutic option.This report presents a case of focal refractory vasospasm successfully treated with PCI.