{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T11:34:25Z","timestamp":1766748865974,"version":"3.40.4"},"reference-count":24,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:p>Coronary artery spasm constitutes the primary underlying pathology of variant angina. Because provocation of coronary artery spasm may occur with both excess sympathetic and excess parasympathetic stimulation, patients with this disorder have extremely limited options for perioperative pain control. This is especially true for procedures involving extensive abdominal incision\/manipulation. Whereas neuraxial analgesia might otherwise be appropriate in these cases, several studies have demonstrated that coronary artery spasm can occur as a result of epidural placement, and therefore, that this may not be an optimal choice for patients with variant angina. This report discusses the case of a patient with a preexisting diagnosis of variant angina who underwent an exploratory laparotomy with large ventral hernia repair and for whom continuous erector spinae plane blocks were successfully used as analgesic adjuncts without triggering coronary artery spasm.<\/jats:p>","DOI":"10.14503\/thij-21-7624","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T14:48:36Z","timestamp":1671461316000},"source":"Crossref","is-referenced-by-count":1,"title":["Successful Use of Continuous Erector Spinae Plane Blocks in a Patient With Variant Angina After Large Ventral Hernia Repair"],"prefix":"10.14503","volume":"49","author":[{"given":"Alexandra L.","family":"Belfar","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond C.","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annas","family":"Sabbagh","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"key":"i1526-6702-49-6-e217624-b1","series-title":"Am J Med.","first-page":"375","article-title":"Angina pectoris. I. A variant form of angina pectoris; preliminary report","volume":"27","year":"1959","unstructured":"Prinzmetal\nM,\n\n\nKennamer\nR,\n\n\nMerliss\nR,\n\n\nWada\nT,\n\n\nBor\nN.\n\n\nAngina pectoris. I. A variant form of angina pectoris; preliminary report.\nAm J Med.1959;27:375\u2013888."},{"issue":"6","key":"i1526-6702-49-6-e217624-b2","series-title":"Circulation.","first-page":"1255","article-title":"Local coronary supersensitivity to diverse vasoconstrictive stimuli in patients with variant angina","volume":"74","year":"1986","unstructured":"Kaski\nJC,\n\n\nCrea\nF,\n\n\nMeran\nD,\n\n\n.\nLocal coronary supersensitivity to diverse vasoconstrictive stimuli in patients with variant angina.\nCirculation.1986;74(6):1255\u20131265.\ndoi:10.1161\/01.CIR.74.6.1255"},{"issue":"9","key":"i1526-6702-49-6-e217624-b3","series-title":"Br J Anaesth.","first-page":"945","article-title":"Prinzmetal's variant angina during extradural anaesthesia","volume":"52","year":"1980","unstructured":"Krantz\nEM,\n\n\nViljoen\nJF,\n\n\nGilbert\nMS.\n\n\nPrinzmetal's variant angina during extradural anaesthesia.\nBr J Anaesth.1980;52(9):945\u2013949.\ndoi:10.1093\/bja\/52.9.945"},{"issue":"1","key":"i1526-6702-49-6-e217624-b4","series-title":"Clin Cardiol.","first-page":"59","article-title":"Coronary artery spasm induced by anesthesia: a case report and review of the literature","volume":"13","year":"1990","unstructured":"Soto\nE,\n\n\nDuvernoy\nWF,\n\n\nDavid\nS,\n\n\nSmall\nD,\n\n\nNair\nMR.\n\n\nCoronary artery spasm induced by anesthesia: a case report and review of the literature.\nClin Cardiol.1990;13(1):59\u201361.\ndoi:10.1002\/clc.4960130111"},{"issue":"4","key":"i1526-6702-49-6-e217624-b5","series-title":"Anesthesiology.","first-page":"1015","article-title":"Coronary artery spasm during initiation of epidural anesthesia","volume":"99","year":"2003","unstructured":"Easley\nRB,\n\n\nRosen\nRE,\n\n\nLindeman\nKS.\n\n\nCoronary artery spasm during initiation of epidural anesthesia.\nAnesthesiology.2003;99(4):1015\u20131017.\ndoi:10.1097\/00000542-200310000-00037"},{"issue":"1","key":"i1526-6702-49-6-e217624-b6","series-title":"J Clin Anesth.","first-page":"64","article-title":"Coronary vasospasm during anesthesia induction: awareness, recognition, possible mechanisms, anesthetic factors, and treatment","volume":"20","year":"2008","unstructured":"Sidi\nA,\n\n\nDahleen\nL,\n\n\nGaspardone\nA.\n\n\nCoronary vasospasm during anesthesia induction: awareness, recognition, possible mechanisms, anesthetic factors, and treatment.\nJ Clin Anesth.2008;20(1):64\u201369.\ndoi:10.1016\/j.jclinane.2007.02.016"},{"issue":"3","key":"i1526-6702-49-6-e217624-b7","series-title":"Acute Card Care.","first-page":"155","article-title":"Severe coronary artery spasm induced by epidural injection of bupivacaine hydrochloride: a case report","volume":"13","year":"2011","unstructured":"Mutlak\nM,\n\n\nNikolsky\nE.\n\n\nSevere coronary artery spasm induced by epidural injection of bupivacaine hydrochloride: a case report.\nAcute Card Care.2011;13(3):155\u2013158.\ndoi:10.3109\/17482941.2011.567286"},{"issue":"1","key":"i1526-6702-49-6-e217624-b8","series-title":"Arch Cardiovasc Dis.","first-page":"44","article-title":"Vasospastic angina: a literature review of current evidence","volume":"112","year":"2019","unstructured":"Picard\nF,\n\n\nSayah\nN,\n\n\nSpagnoli\nV,\n\n\nAdjedj\nJ,\n\n\nVarenne\nO.\n\n\nVasospastic angina: a literature review of current evidence.\nArch Cardiovasc Dis.2019;112(1):44\u201355.\ndoi:10.1016\/j.acvd.2018.08.002"},{"issue":"5","key":"i1526-6702-49-6-e217624-b9","series-title":"J Cardiovasc Pharmacol Ther.","first-page":"439","article-title":"Pharmacotherapy of vasospastic angina","volume":"21","year":"2016","unstructured":"Harris\nJR,\n\n\nHale\nGM,\n\n\nDasari\nTW,\n\n\nSchwier\nNC.\n\n\nPharmacotherapy of vasospastic angina.\nJ Cardiovasc Pharmacol Ther.2016;21(5):439\u2013451.\ndoi:10.1177\/1074248416640161"},{"issue":"1","key":"i1526-6702-49-6-e217624-b10","series-title":"J Cardiol.","first-page":"2","article-title":"Coronary artery spasm--clinical features, diagnosis, pathogenesis, and treatment","volume":"51","year":"2008","unstructured":"Yasue\nH,\n\n\nNakagawa\nH,\n\n\nItoh\nT,\n\n\nHarada\nE,\n\n\nMizuno\nY.\n\n\nCoronary artery spasm--clinical features, diagnosis, pathogenesis, and treatment.\nJ Cardiol.2008;51(1):2\u201317.\ndoi:10.1016\/j.jjcc.2008.01.001"},{"issue":"11","key":"i1526-6702-49-6-e217624-b11","series-title":"Int J Med Sci.","first-page":"1161","article-title":"Coronary artery spasm: review and update","volume":"11","year":"2014","unstructured":"Hung\nMJ,\n\n\nHu\nP,\n\n\nHung\nMY.\n\n\nCoronary artery spasm: review and update.\nInt J Med Sci.2014;11(11):1161\u20131171.\ndoi:10.7150\/ijms.9623"},{"issue":"8","key":"i1526-6702-49-6-e217624-b12","series-title":"Circ J.","first-page":"1965","article-title":"Significance of coronary vasospasm in the perioperative management of non-cardiac surgery","volume":"76","year":"2012","unstructured":"Nagayoshi\nY,\n\n\nKawano\nH,\n\n\nKojima\nS,\n\n\n.\nSignificance of coronary vasospasm in the perioperative management of non-cardiac surgery.\nCirc J.2012;76(8):1965\u20131971.\ndoi:10.1253\/circj.cj-11-1278"},{"issue":"7","key":"i1526-6702-49-6-e217624-b13","series-title":"World J Cardiol.","first-page":"685","article-title":"Worsening of coronary spasm during the perioperative period: a case report","volume":"6","year":"2014","unstructured":"Teragawa\nH,\n\n\nNishioka\nK,\n\n\nFujii\nY,\n\n\n.\nWorsening of coronary spasm during the perioperative period: a case report.\nWorld J Cardiol.2014;6(7):685\u2013688.\ndoi:10.4330\/wjc.v6.i7.685"},{"issue":"5","key":"i1526-6702-49-6-e217624-b14","series-title":"Am Heart J.","first-page":"819","article-title":"Histamine provocation of clinical coronary artery spasm: implications concerning pathogenesis of variant angina pectoris","volume":"102","year":"1981","unstructured":"Ginsburg\nR,\n\n\nBristow\nMR,\n\n\nKantrowitz\nN,\n\n\nBaim\nDS,\n\n\nHarrison\nDC.\n\n\nHistamine provocation of clinical coronary artery spasm: implications concerning pathogenesis of variant angina pectoris.\nAm Heart J.1981;102(5):819\u2013822.\ndoi:10.1016\/0002-8703(81)90030-2"},{"issue":"7","key":"i1526-6702-49-6-e217624-b15","series-title":"Reg Anesth Pain Med.","first-page":"600","article-title":"Fascial plane blocks: a narrative review of the literature","volume":"46","year":"2021","unstructured":"Kim\nDH,\n\n\nKim\nSJ,\n\n\nLiu\nJ,\n\n\nBeathe\nJ,\n\n\nMemtsoudis\nSG.\n\n\nFascial plane blocks: a narrative review of the literature.\nReg Anesth Pain Med.2021;46(7):600\u2013617.\ndoi:10.1136\/rapm-2020-101909"},{"issue":"2","key":"i1526-6702-49-6-e217624-b16","series-title":"Reg Anesth Pain Med.","first-page":"133","article-title":"Essentials of our current understanding: abdominal wall blocks","volume":"42","year":"2017","unstructured":"Chin\nKJ,\n\n\nMcDonnell\nJG,\n\n\nCarvalho\nB,\n\n\nSharkey\nA,\n\n\nPawa\nA,\n\n\nGadsden\nJ.\n\n\nEssentials of our current understanding: abdominal wall blocks.\nReg Anesth Pain Med.2017;42(2):133\u2013183.\ndoi:10.1097\/AAP.0000000000000545"},{"issue":"6","key":"i1526-6702-49-6-e217624-b17","series-title":"Anesth Analg.","first-page":"1640","article-title":"The analgesic efficacy of ultrasound-guided transversus abdominis plane block in adult patients: a meta-analysis","volume":"121","year":"2015","unstructured":"Baeriswyl\nM,\n\n\nKirkham\nKR,\n\n\nKern\nC,\n\n\nAlbrecht\nE.\n\n\nThe analgesic efficacy of ultrasound-guided transversus abdominis plane block in adult patients: a meta-analysis.\nAnesth Analg.2015;121(6):1640\u20131654.\ndoi:10.1213\/ANE.0000000000000967"},{"key":"i1526-6702-49-6-e217624-b18","series-title":"Reg Anesth Pain Med.","article-title":"Bayesian adaptive design: the future for regional anesthesia trials? Online ahead of print","year":"2019","unstructured":"Gotmaker\nR,\n\n\nBarrington\nMJ,\n\n\nReynolds\nJ,\n\n\nTrippa\nL,\n\n\nHeritier\nS.\n\n\nBayesian adaptive design: the future for regional anesthesia trials? Online ahead of print.\nReg Anesth Pain Med.2019;\nrapm-2018-100248. doi:10.1136\/rapm-2018-100248"},{"issue":"5","key":"i1526-6702-49-6-e217624-b19","series-title":"Reg Anesth Pain Med.","first-page":"621","article-title":"the erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain","volume":"41","year":"2016","unstructured":"Forero\nM,\n\n\nAdhikary\nSD,\n\n\nLopez\nH,\n\n\nTsui\nC,\n\n\nChin\nKJ.\n\n\nthe erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain.\nReg Anesth Pain Med.2016;41(5):621\u2013627.\ndoi:10.1097\/AAP.0000000000000451"},{"issue":"11","key":"i1526-6702-49-6-e217624-b20","series-title":"A A Case Rep.","first-page":"319","article-title":"Bilateral continuous erector spinae plane block contributes to effective postoperative analgesia after major open abdominal surgery: a case report","volume":"9","year":"2017","unstructured":"Restrepo-Garces\nCE,\n\n\nChin\nKJ,\n\n\nSuarez\nP,\n\n\nDiaz\nA.\n\n\nBilateral continuous erector spinae plane block contributes to effective postoperative analgesia after major open abdominal surgery: a case report.\nA A Case Rep.2017;9(11):319\u2013321.\ndoi:10.1213\/XAA.0000000000000605"},{"issue":"3","key":"i1526-6702-49-6-e217624-b21","series-title":"Can J Anaesth.","first-page":"387","article-title":"Mechanisms of action of the erector spinae plane (ESP) block: a narrative review","volume":"68","year":"2021","unstructured":"Chin\nKJ,\n\n\nEl-Boghdadly\nK.\n\n\nMechanisms of action of the erector spinae plane (ESP) block: a narrative review.\nCan J Anaesth.2021;68(3):387\u2013408.\ndoi:10.1007\/s12630-020-01875-2"},{"issue":"5","key":"i1526-6702-49-6-e217624-b22","series-title":"J Cardiothorac Vasc Anesth.","first-page":"e2","article-title":"Continuous erector spinae plane (ESP) block: optimizing the analgesia technique","volume":"32","year":"2018","unstructured":"de la Cuadra-Fontaine\nJC,\n\n\nAltermatt\nFR.\n\n\nContinuous erector spinae plane (ESP) block: optimizing the analgesia technique.\nJ Cardiothorac Vasc Anesth.2018;32(5):e2\u2013e3.\ndoi:10.1053\/j.jvca.2018.03.034"},{"issue":"10","key":"i1526-6702-49-6-e217624-b23","series-title":"A A Case Rep.","first-page":"254","article-title":"Continuous erector spinae plane block for rescue analgesia in thoracotomy after epidural failure: a case report","volume":"8","year":"2017","unstructured":"Forero\nM,\n\n\nRajarathinam\nM,\n\n\nAdhikary\nS,\n\n\nChin\nKJ.\n\n\nContinuous erector spinae plane block for rescue analgesia in thoracotomy after epidural failure: a case report.\nA A Case Rep.2017;8(10):254\u2013256.\ndoi:10.1213\/XAA.0000000000000478"},{"issue":"10","key":"i1526-6702-49-6-e217624-b24","series-title":"Indian J Anaesth.","first-page":"809","article-title":"Erector spinae plane block: relatively new block on horizon with a wide spectrum of application - a case series","volume":"62","year":"2018","unstructured":"Jain\nK,\n\n\nJaiswal\nV,\n\n\nPuri\nA.\n\n\nErector spinae plane block: relatively new block on horizon with a wide spectrum of application - a case series.\nIndian J Anaesth.2018;62(10):809\u2013813.\ndoi:10.4103\/ija.IJA_263_18"}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e217624.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/thij\/article-pdf\/doi\/10.14503\/THIJ-21-7624\/3415230\/i1526-6702-49-6-e217624.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e217624.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e217624.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:02:35Z","timestamp":1745366555000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e217624.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,1]]},"references-count":24,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.14503\/thij-21-7624","relation":{},"ISSN":["1526-6702","0730-2347"],"issn-type":[{"type":"electronic","value":"1526-6702"},{"type":"print","value":"0730-2347"}],"subject":[],"published":{"date-parts":[[2022,11,1]]}}}