[No-reflow phenomenon occurring during elective angioplasty performed due to in-stent restenosis -- a case report].

Abstract

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.

• Authors: Sławomir Dobrzycki, Konrad Nowak, Marcin Kozuch, Hanna Bachórzewska-Gajewska, Bogusław Poniatowski, Jerzy Zuk
• Journal: Kardiologia polska (Kardiol Pol) Vol. 64 Issue 4 Pg. 437-40 (Apr 2006) ISSN: 0022-9032 [Print] Poland
• Vernacular Title: Zespół upośledzonej perfuzji tkankowej u chorego poddanego planowej interwencji wieńcowej w obrebie zwezenia we wcześniej implantowanym stencie.
• PMID: 16699996 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Angioplasty, Balloon, Coronary (adverse effects)
• Catheterization (adverse effects)
• Coronary Angiography
• Coronary Circulation
• Coronary Restenosis (physiopathology, therapy)
• Heart Arrest (etiology)
• Humans
• Male
• Middle Aged
• Resuscitation
• Stents (adverse effects)