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Adenosine for reversal of “no reflow”

✍ Scribed by Tim A. Fischell; Malcolm T. Foster III


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
8 KB
Volume
46
Category
Article
ISSN
1522-1946

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Slow or no reflow is a serious problem complicating catheter-based revascularization of degenerated saphenous vein bypass grafts. We examined the efficacy of rapidly delivered, high-velocity injections of intracoronary adenosine to reverse 11 slow-flow events complicating stenting of diseased bypass

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The no-reflow phenomenon is a reduction in epicardial coronary artery blood flow without mechanical vessel obstruction. Early descriptions of this syndrome involved reperfusion after myocardial infarction. More recently, the no-reflow phenomenon has been recognized after brief ischemic times associa