A Practical Method for No-Reflow Treatment

Figure 1

(a) The first angiogram of the patient. (b) After balloon dilatation to the first OM, Cx midportion was totally occluded due to thrombus shift. (c) A 1.5/20 mm monorail balloon was dilated at the Cx occlusion. (d) No-reflow developed. (e) 1.5/20 mm monorail balloon was perforated and was inserted to the distal part of the Cx; afterwards 250 mcg adenosine was injected via the balloon. Successful distal flow was restored. OM: obtuse marginalis, Cx: circumflex artery.

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