[No-reflow phenomenon occurring during elective angioplasty performed due to in-stent restenosis -- a case report].
The no-reflow phenomenon is an impairment of microcirculation after successful percutaneous coronary interventions (PCI). The no-reflow phenomenon is usually observed during acute myocardial infarction. This case-report describes no-reflow phenomenon in a patient undergoing elective PCI in the right coronary artery, occluded due to restenosis in implanted stent. After deflation of balloon during angioplasty in restenosed stent, no-reflow phenomenon occurred, followed by asystolia. The patient was successfully resuscitated. During resuscitation procedures, abciximab was administered what improved myocardial perfusion. This case demonstrates that no-reflow phenomenon can be a serious problem during elective PCI, leading even to a cardiac arrest. It shows also the necessity for administration of drugs improving tissue perfusion when no-reflow phenomenon occurs.
Dobrzycki
Sławomir
S
Zakład Kardiologii Inwazyjnej Akademii Medycznej, ul. M. Skłodowskiej-Curie 24a, 15-276 Białystok. slawek_dobrzycki@yahoo.com
Nowak
Konrad
K
Kozuch
Marcin
M
Bachórzewska-Gajewska
Hanna
H
Poniatowski
Bogusław
B
Zuk
Jerzy
J
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D002404:Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography; D003326:Coronary Circulation; D023903:Coronary Restenosis / Q000503:physiopathology / Q000628:therapy*; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012151:Resuscitation; D015607:Stents / Q000009:adverse effects*