[Coronary flow reserve in acute myocardial infarction in a patient treated with primary venous angioplasty. Case report].
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.
Bartuś
Stanisław
S
II Klinika Kardiologii Instytutu Kardiologii CM UJ, Kraków, Poland.
Dudek
Dariusz
D
Legutko
Jacek
J
Turek
Paweł
P
Rzeszutko
Kukasz
K
Dziewierz
Artur
A
Dubiel
Jacek S
JS
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