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.