Cardiac autonomic ganglion ablation for refractory coronary artery spasm after PCI: a case report - Takeaways - MDSpire

Cardiac autonomic ganglion ablation for refractory coronary artery spasm after PCI: a case report

  • By

  • Fuchao Qu

  • Shanshan Zhang

  • Xiufeng Li

  • Lili Chen

  • Jiageng Wang

  • Xiaohua Ma

  • Chenhui Liu

  • Yifei Liu

  • Yuanxin Wang

  • Leisheng Zhang

  • Wenwei Yue

  • June 9, 2026

  • 0 min

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  • 1

    A 45-year-old male experienced recurrent chest pain post-coronary stent implantation, consistent with Wellens' syndrome.

  • 2

    The patient could not tolerate diltiazem due to a low heart rate and had poor response to standard anti-spastic therapy.

  • 3

    Intracoronary ergonovine testing induced severe coronary artery spasms, reproducing the patient's chest pain.

  • 4

    Catheter ablation of cardiac autonomic ganglia was performed, leading to significantly reduced coronary artery spasm.

  • 5

    At the 2-month follow-up, the patient reported complete resolution of angina after the ablation procedure.

Original Source(s)

Cardiac autonomic ganglion ablation for refractory coronary artery spasm after PCI: a case report

  • by Fuchao Qu, Shanshan Zhang, Xiufeng Li, Lili Chen, Jiageng Wang, Xiaohua Ma, Chenhui Liu, Yifei Liu, Yuanxin Wang, Leisheng Zhang, Wenwei Yue

  • June 9, 2026

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