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KMID : 0311120100510040599
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Yonsei Medical Journal
2010 Volume.51 No. 4 p.599 ~ p.601
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Percutaneous Cardiopulmonary Support in Refractory No-Reflow with Cardiogenic Shock after Coronary Stenting in Acute Myocardial Infarction
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Son Jung-Woo
Kim Jin-Sun
Lee Jung-Myung
Hong Sung-Jin
Jung Min-Kyu
Kim Duk-Hwan
Kim Jung-Sun
Choi Dong-Hoon
Jang Yang-Soo
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Abstract
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Coronary no-reflow is defined as inadequate myocardial perfusion of a given coronary segment without angiographic evidence of mechanical vessel obstruction. No-reflow is visualized angiographically as a reduction in thrombolysis in myocardial infarction (TIMI) flow grade and is typically accompanied by chest pain, electrocardiographic changes with ST-segment shift and possible hemodynamic compromise. No-reflow during primary percutaneous coronary intervention (PCI) results in increasing mortality and morbidity. Therefore, treatment of noreflow is associated with improved clinical outcomes. Generally, the treatment of no-reflow is based on pharmacotherapy. In this case, despite maximal pharmacotherapy and intraaortic balloon pump (IABP), refractory no-reflow accompanied with cardiogenic shock was successfully treated with percutaneous cardiopulmonary support (PCPS).
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KEYWORD
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No-reflow, percutaneous cardiopulmonary support, acute myocardial infarction
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