Back to Search Start Over

Percutaneous Cardiopulmonary Support in Refractory No-Reflow with Cardiogenic Shock after Coronary Stenting in Acute Myocardial Infarction.

Authors :
Jung-Woo Son
Jin-Sun Kim
Jung Myung Lee
Sung Jin Hong
Min Kyu Jung
Duk-Hwan Kim
Jung-Sun Kim
Donghoon Choi
Yangsoo Jang
Source :
Yonsei Medical Journal; 7/1/2010, Vol. 51 Issue 4, p599-601, 3p, 2 Black and White Photographs
Publication Year :
2010

Abstract

Coronary no-reflow is defined as inadequate myocardial perfusion of a given coronary segment without angiographic evidence of mechanical vessel obstruction. No-reflow is visualized angiographically as a reduction in thrombolysis in myocardial infarction (TIMI) flow grade and is typically accompanied by chest pain, electrocardiographic changes with ST-segment shift and possible hemodynamic compromise. No-reflow during primary percutaneous coronary intervention (PCI) results in increasing mortality and morbidity. Therefore, treatment of noreflow is associated with improved clinical outcomes. Generally, the treatment of no-reflow is based on pharmacotherapy. In this case, despite maximal pharmacotherapy and intraaortic balloon pump (IABP), refractory no-reflow accompanied with cardiogenic shock was successfully treated with percutaneous cardiopulmonary support (PCPS). [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
05135796
Volume :
51
Issue :
4
Database :
Supplemental Index
Journal :
Yonsei Medical Journal
Publication Type :
Academic Journal
Accession number :
52007466
Full Text :
https://doi.org/10.3349/ymj.2010.51.4.599