Prevention of coronary slow flow/no reflow during percutaneous coronary intervention by the use of embolic protection device, ‘Filtrap’

2009 ◽  
Vol 25 (1) ◽  
pp. 46-49
Author(s):  
Kohichiro Iwasaki ◽  
Takeshi Matsumoto ◽  
Hitoshi Aono ◽  
Hiroshi Furukawa ◽  
Masanobu Samukawa
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Slow Flow ◽  
Protection Device ◽  
Embolic Protection Device ◽  
Embolic Protection ◽  
No Reflow ◽  
Percutaneous Coronary ◽  
Coronary Slow Flow

Filter no-reflow during percutaneous coronary intervention of saphenous vein grafts: incidence, predictors and effect of the type of protection device

2011 ◽  
Vol 7 (8) ◽  
pp. 955-961 ◽  
Author(s):  
Italo Porto ◽  
Flavia Belloni ◽  
Giampaolo Niccoli ◽  
Claudio Larosa ◽  
Antonio Maria Leone ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Saphenous Vein ◽  
Coronary Intervention ◽  
Protection Device ◽  
Vein Grafts ◽  
No Reflow ◽  
Saphenous Vein Grafts ◽  
Percutaneous Coronary

scholarly journals Correlates of the “No-Reflow” or “Slow-Flow” Phenomenon in Patients Undergoing Primary Percutaneous Coronary Intervention

2018 ◽  
Author(s):  
Mohammad Alidoosti ◽  
Reza Lotfi ◽  
Masoumeh Lotfi-Tokaldany ◽  
Ebrahim Nematipour ◽  
Mojtaba Salarifar ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Target Lesion ◽  
Slow Flow ◽  
Primary Pci ◽  
No Reflow ◽  
Timi Flow ◽  
Percutaneous Coronary ◽  
No Reflow Phenomenon ◽  
Infarct Related Artery

Background: Despite recent advances in interventional equipment and techniques, the angiographic no-reflow phenomenon occurs in a considerable number of patients undergoing primary percutaneous coronary intervention (PCI). We investigated the clinical, angiographic, preprocedural, and procedural characteristics associated with the no-reflow phenomenon among patients undergoing primary PCI. Methods: Between March 2008 and April 2013, 530 patients (78.5% male, mean age=58.11±12.39 y) with ST-segment-elevation myocardial-infarction who underwent primary PCI were categorized in 2 groups according to their postprocedural thrombolysis-in-myocardial infarction (TIMI) flow grades:  those with a maximum score of 2 (the no-reflow or slow-flow group) and the ones with a score of 3 (the reflow group). A multivariable logistic regression model was used to find the multiple correlates of the no-reflow phenomenon after PCI. Results: There were 166 (31.3%) patients in the no-reflow group and 364 (68.7%) in the reflow group. The no-reflow patients were older and had significantly longer target lesion lengths, higher SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery (SYNTAX) scores, higher infarct-related artery SYNTAX scores, more thrombus burden, and a higher frequency of initial TIMI flow grades of 2 or lower. Our multivariable logistic regression analysis demonstrated that older age, higher numbers of Q waves, not using statin, longer target lesion lengths, higher thrombus grades, and higher infarct-related artery SYNTAX scores remained the independent correlates of increased no-reflow rates after primary PCI (area under the ROC curve=0.784,  95% CI: 0.742–0.826; P<0.001). Conclusion: Clinical, angiographic, and procedural features of patients undergoing primary PCI may be correlated with the occurrence of the no-reflow phenomenon. The thrombus grade and the infarct-related artery SYNTAX score could be among these factors.

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