No-reflow case 1

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Factors Associated with Complications Vessel Perforation Dissection Distal Embolization No-reflow Coronary Vasospasm Abrupt Closure Access Site Complications Peri-procedure Bleeding Restenosis Renal Failure Thrombocytopenia Late Acquired Stent Malapposition Loss of Side Branch Multiple Complications
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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

Shown below is a pre-intervention angiogram with occlusion in the proximal part of SVG (saphenous vein graft) to the RCA.

Shown below is an angiogram with ongoing intervention on the occlusion 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.