Clinical and postmortem outcome of 'no-reflow' phenomenon in a patient treated with rotational atherectomy

Mark Bowles, William Palko, Cathy Beaver, Carlos Cowley, Robert Kipperman

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

In the 77-year-old woman described, atherectomy of a circumflex artery with the Rotablator device was complicated by 'no reflow.' Ten days later, a 75% right coronary artery stenosis was successfully managed by balloon angioplasty. On the following day, acute closure of this vessel resulted in death. Gross examination of the heart showed features of recent posterior infarction, and microscopic study revealed atheroemboli in myocardial arterioles. We conclude that high-speed pulverization of atherosclerotic plaque can cause clinically significant emboli.

Original languageEnglish (US)
Pages (from-to)820-823
Number of pages4
JournalSouthern Medical Journal
Volume89
Issue number8
DOIs
StatePublished - Jan 1 1996

Fingerprint

No-Reflow Phenomenon
Coronary Atherectomy
Atherectomy
Balloon Angioplasty
Coronary Stenosis
Arterioles
Atherosclerotic Plaques
Embolism
Infarction
Arteries
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Bowles, Mark ; Palko, William ; Beaver, Cathy ; Cowley, Carlos ; Kipperman, Robert. / Clinical and postmortem outcome of 'no-reflow' phenomenon in a patient treated with rotational atherectomy. In: Southern Medical Journal. 1996 ; Vol. 89, No. 8. pp. 820-823.
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Clinical and postmortem outcome of 'no-reflow' phenomenon in a patient treated with rotational atherectomy. / Bowles, Mark; Palko, William; Beaver, Cathy; Cowley, Carlos; Kipperman, Robert.

In: Southern Medical Journal, Vol. 89, No. 8, 01.01.1996, p. 820-823.

Research output: Contribution to journalArticle

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