title: Clinical and postmortem outcome of "no-reflow' phenomenon in a patient treated with rotational atherectomy.
abstract: In the 77-year-old woman described, atherectomy of a circumflex artery with the Rotablator device was complicated by "no reflow." Ten days later, a 75% right coronary artery stenosis was successfully managed by balloon angioplasty. On the following day, acute closure of this vessel resulted in death. Gross examination of the heart showed features of recent posterior infarction, and microscopic study revealed atheroemboli in myocardial arterioles. We conclude that high-speed pulverization of atherosclerotic plaque can cause clinically significant emboli.
authors.affiliation: Galichia Medical Group PA, Wichita, KS 67214, USA.
authors.forename: M
authors.initials: M
authors.lastname: Bowles
authors.forename: W
authors.initials: W
authors.lastname: Palko
authors.forename: C
authors.initials: C
authors.lastname: Beaver
authors.forename: C
authors.initials: C
authors.lastname: Cowley
authors.forename: R
authors.initials: R
authors.lastname: Kipperman
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017225:Atherectomy, Coronary / Q000009:adverse effects*; D003327:Coronary Disease / Q000628:therapy*; D003328:Coronary Thrombosis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D017809:Fatal Outcome; D005260:Female; D006439:Hemodynamics; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology