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

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).

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Son JW,Kim JS,Lee JM,Hong SJ,Jung MK,Kim DH,Kim JS,Choi D,Jang Y

doi

10.3349/ymj.2010.51.4.599

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

599-601

issue

4

eissn

0513-5796

issn

1976-2437

pii

201007599

journal_volume

51

pub_type

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