Korean J Pain.  2012 Apr;25(2):121-125. 10.3344/kjp.2012.25.2.121.

Spinal Cord Stimulation for Refractory Angina Pectoris: A Case Report

• Lee SH
• Jeong HJ
• Jeong SH
• Lee HG
• Choi JI
• Yoon MH
• Kim WM

• KMID: 1778998
• DOI: http://doi.org/10.3344/kjp.2012.25.2.121

Abstract

Refractory angina pectoris is defined as angina refractory to optimal medical treatment and standard coronary revascularization procedures. Despite recent therapeutic advances, patients with refractory angina pectoris are not adequately treated. Spinal cord stimulation is a minimally invasive and reversible technique which utilizes electrical neuromodulation by means of an electrode implanted in the epidural space. It has been reported to be an effective and safe treatment for refractory angina pectoris. We report a case of spinal cord stimulation which has effectively relieved chest pain due to coronary artery disease in a 40-year-old man. This is the first report of spinal cord stimulation for treatment of refractory angina pectoris in South Korea.

Keyword

chest pain; coronary artery disease; refractory angina pectoris; spinal cord stimulation

MeSH Terms

Adult
Angina Pectoris
Chest Pain
Coronary Artery Disease
Electrodes
Epidural Space
Humans
Republic of Korea
Spinal Cord
Spinal Cord Stimulation

Figure

• 

  Fig. 1 Coronary angiogram (CAG) before and after percutaneous coronary intervention (PCI). (A) CAG shows total occlusion of the proximal left anterior descending coronary artery. (B) After the PCI, successful reperfusion was obtained.

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  Fig. 2 Chest radiographs showing an octad electrode. The tip of the electrode is located in the C7-T1 epidural space, slightly left of the center. (A) Anteroposterior view. (B) Lateral view.

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