title: [Coronary flow reserve in acute myocardial infarction in a patient treated with primary venous angioplasty. Case report].
abstract: Residual stenosis, dissection and/or microvascular damage have been proposed as mechanisms of impaired flow after primary angioplasty (PCI) for acute myocardial infarction (MI). In this report we present a patient who underwent PCI for acute anterior MI. Coronary flow reserve (CFR) assessment performed after balloon dilatation suggested possible improvement of coronary flow after stenting. However, we did not observe any improvement in CFR just after stent implantation. We conclude that in patients treated with primary PCI the use of additional pharmacological treatment to prevent microcirculation injury during reperfusion and slow-flow or no-reflow phenomenon should be considered.
authors.affiliation: II Klinika Kardiologii Instytutu Kardiologii CM UJ, Kraków, Poland.
authors.forename: Stanisław
authors.initials: S
authors.lastname: Bartuś
authors.forename: Dariusz
authors.initials: D
authors.lastname: Dudek
authors.forename: Jacek
authors.initials: J
authors.lastname: Legutko
authors.forename: Paweł
authors.initials: P
authors.lastname: Turek
authors.forename: Kukasz
authors.initials: K
authors.lastname: Rzeszutko
authors.forename: Artur
authors.initials: A
authors.lastname: Dziewierz
authors.forename: Jacek S
authors.initials: JS
authors.lastname: Dubiel
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003326:Coronary Circulation; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy*; D015428:Myocardial Reperfusion Injury / Q000517:prevention & control; D015607:Stents