Percutaneous cardiopulmonary support in refractory no-reflow with cardiogenic shock after coronary stenting in acute myocardial infarction

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...

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Bibliographic Details
Published in:Yonsei medical journal 2010, 51(4), , pp.599-601
Main Authors: Son, Jung-Woo, Kim, Jin-Sun, Lee, Jung Myung, Hong, Sung Jin, Jung, Min Kyu, Kim, Duk-Hwan, Kim, Jung-Sun, Choi, Donghoon, Jang, Yangsoo
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary - adverse effects
Case Report
Coronary Angiography
Female
Humans
Intra-Aortic Balloon Pumping
Middle Aged
Myocardial Infarction - therapy
Shock, Cardiogenic - therapy
Stents - adverse effects
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Summary: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).
ISSN:0513-5796
1976-2437
DOI:10.3349/ymj.2010.51.4.599