Abrupt closure and no-reflow case 1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hardik Patel, M.D., Sapan Patel M.B.B.S

Abrupt Closure and Loss of Side Branch

Shown below is a pre-intervention angiogram with multiple significant lesions in the proximal and mid RCA.

Shown below is an angiogram with occlusion at the mid RCA depicting abrupt closure.

Shown below is a pre-intervention angiogram with significant lesion in the SVG (saphenous vein graft) to RCA.

Shown below is an angiogram with ongoing intervention on the significant lesion described above.

Shown below is a post-intervention angiogram with acute reduction in blood flow (TIMI flow grade 1) in the absence of dissection, thrombus, spasm, or high-grade residual stenosis in the SVG (saphenous vein graft) depicting no-reflow.

Shown below is a post-intervention angiogram with a complete restoration of blood flow (TIMI flow grade 3) after transient no-reflow as depicted above.