No-reflow case 1: Difference between revisions
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===Pre-intervention=== | ===Pre-intervention=== | ||
Shown below is a pre-intervention angiogram with occlusion in the proximal part of [[SVG]] ([[saphenous vein graft]]) to the [[RCA]]. | Shown below is a pre-intervention angiogram with occlusion in the proximal part of [[SVG]] ([[saphenous vein graft]]) to the [[RCA]]. | ||
[[File:No-reflow-(7).gif| | {| | ||
| [[File:No-reflow-(7)-n.gif|none|thumb|400px|Normal speed]] | |||
| [[File:No-reflow-(7).gif|none|thumb|400px|Slow motion]] | |||
|} | |||
===Intervention=== | ===Intervention=== | ||
Shown below is an angiogram with ongoing intervention on the occlusion described above. | Shown below is an angiogram with ongoing intervention on the occlusion described above. | ||
[[File:No-reflow-(13).gif| | {| | ||
| [[File:No-reflow-(13).gif|none|thumb|400px]] | |||
|} | |||
===Post-intervention=== | ===Post-intervention=== | ||
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 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. | ||
[[File:No-reflow-(19).gif| | {| | ||
| [[File:No-reflow-(19)-n.gif|none|thumb|400px|Normal speed]] | |||
| [[File:No-reflow-(19).gif|none|thumb|400px|Slow motion]] | |||
|} | |||
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. | 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. | ||
[[File:No-reflow-(23).gif| | {| | ||
| [[File:No-reflow-(23)-n.gif|none|thumb|400px|Normal speed]] | |||
| [[File:No-reflow-(23).gif|none|thumb|400px|Slow motion]] | |||
|} | |||
==References== | ==References== |
Latest revision as of 18:38, 10 March 2014
Percutaneous coronary intervention Microchapters |
PCI Complications |
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PCI in Specific Patients |
PCI in Specific Lesion Types |
No-reflow case 1 On the Web |
American Roentgen Ray Society Images of No-reflow case 1 |
Directions to Hospitals Treating Percutaneous coronary intervention |
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
No-Reflow
Pre-intervention
Shown below is a pre-intervention angiogram with occlusion in the proximal part of SVG (saphenous vein graft) to the RCA.
![]() |
![]() |
Intervention
Shown below is an angiogram with ongoing intervention on the occlusion described above.
![]() |
Post-intervention
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.
![]() |
![]() |