Slow Flow and No-Reflow Phenomenon in Saphenous Vein Graft Intervention
| Autor: | Sanjiv Sharma, Joel A. Lardizabal |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Percutaneous coronary intervention Dissection (medical) medicine.disease Thrombosis Internal medicine Conventional PCI No reflow phenomenon cardiovascular system medicine Cardiology cardiovascular diseases Myocardial infarction business Perfusion Mace |
| Zdroj: | Coronary Graft Failure ISBN: 9783319265131 |
| Popis: | In percutaneous coronary intervention (PCI), slow flow and no-reflow phenomenon (SFNR) refers to the suboptimal or absence of distal perfusion through a segment of the coronary bed without angiographic evidence of mechanical vessel obstruction, dissection, or in-situ thrombosis. Originally described in the setting of acute myocardial infarction (MI), SFNR is commonly encountered during PCI of saphenous vein grafts (SVGs). Reported incidences vary depending on the definition used, but SFNR has been shown to occur in more than 40 % of interventions involving degenerated SVGs. SFNR is associated with high risk of major adverse cardiac events (MACE), making SVG PCI among the most technically challenging of coronary procedures. |
| Databáze: | OpenAIRE |
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