TIMI flow grade 0

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Coronary Angiography

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TIMI Frame Count
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TIMI Myocardial Perfusion Grade
TMP Grade 0
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TIMI Thrombus Grade 6

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Quantitative Coronary Angiography
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: TIMI 0, TIMI 0 flow, TIMI 0 flow grade, TFG 0, TFG0

Overview

TIMI Grade 0 flow is defined as no perfusion. There is no antegrade flow beyond the point of occlusion.[1] [2] [3]

Example

Shown below are an animated image and a static image depicting TIMI flow grade 0 in the RCA. Outlined in blue in the second image is the flow of the dye which completely stops at the level of the stenosis. Outlined with a yellow dashed line is the pathway that the dye would have filled in case the stenosis was absent.

TIMI flow grade 0 in RCA TIMI flow grade 0 in RCA: Outlined in blue in the second image is the flow of the dye which completely stops at the level of the stenosis; outlined with a yellow dashed line is the pathway that the dye would have filled in case the stenosis was absent.

Additional Examples

Click here for other examples of TIMI flow grade 0.

References

  1. Gibson, CM; Ryan, K; Sparano, A; Rizzo, M; Moynihan, J; Kelley, M; Marble, SJ; Dodge, JT; Antman, EM. Methodologic drift in the assessment of TIMI grade 3 flow and its implications with respect to the reporting of angiographic trial results. Am Heart J. 1999;137:1179–1184. PMID 10347349
  2. Gibson CM, Cannon CP, Daley WL, Dodge JT Jr, Alexander B Jr, Marble SJ, McCabe CH, Raymond L, Fortin T, Poole WK, Braunwald E. TIMI frame count: a quantitative method of assessing coronary artery flow. Circulation. 1996 Mar 1;93(5):879-88. PMID 8598078
  3. Gibson CM, Murphy S, Menown IB, Sequeira RF, Greene R, Van de Werf F, Schweiger MJ, Ghali M, Frey MJ, Ryan KA, Marble SJ, Giugliano RP, Antman EM, Cannon CP, Braunwald E. Determinants of coronary blood flow after thrombolytic administration. TIMI Study Group. Thrombolysis in Myocardial Infarction. J Am Coll Cardiol. 1999 Nov 1;34(5):1403-12. PMID 10551685


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