Effects of Intraaortic Balloon Pumping on the Angiographic No-Reflow Phenomenon After Percutaneous Coronary Intervention in Patients With Anterior Myocardial Infarction
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概要
- 論文の詳細を見る
Background The effects of intraaortic balloon pumping (IABP) are considered to be a reduction in myocardial oxygen demand because of systolic left ventricular unloading and an increase in coronary blood flow. Although the former effect has been consistently recognized, the latter effect remains controversial. The purpose of this study was to examine the effects of IABP on the angiographic no-reflow phenomenon. Methods and Results The coronary flow velocity pattern of the left anterior descending artery (LAD) was assessed by transthoracic Doppler echocardiography during IABP counterpulsation, and the effects of IABP were compared between angiographic no-reflow and good reflow patients. The study group comprised 17 patients with anterior myocardial infarction who underwent percutaneous coronary intervention and IABP for typical clinical indications. Echocardiographic data were obtained during 2 : 1 balloon pumping after coronary angioplasty. In the good reflow group (n=9), IABP counterpulsation increased the mean diastolic flow velocity (MDFV) and peak diastolic flow velocity (PDFV) by 56±32% (p<0.001) and 48±27% (p<0.001), respectively. In contrast, in the no-reflow group (n=8), IABP only increased the MDFV and PDFV by 19±33% (p=0.24) and 6±12% (p=0.22), respectively. Diastolic deceleration time was smaller and the prevalence of systolic retrograde flow was greater in the no-reflow group than in the good reflow group, and IABP affected neither parameter. Conclusions IABP had limited effects on LAD flow velocity pattern in patients with the angiographic no-reflow phenomenon.
- 社団法人日本循環器学会の論文
- 2005-12-20
著者
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Kawamoto Kenji
Cardiovascular Division, Kansai Rosai Hospital
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Kawamoto Kenji
Cardiovascular Division Kansai Rosai Hospital
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Kawamoto Kenji
Department Of Cardiovascular Medicine Okayama Red Cross General Hospital
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Fuke Soichiro
Department Of Cardiology Okayama University Graduate School Of Medicine
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Fuke Soichiro
Department Of Cardiovascular Medicine Okayama Red Cross General Hospital
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Fuke Soichiro
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Denistry And Ph
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Saito Hironori
Department Of Cardiology Okayama Red Cross General Hospital
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Sato Tetsuya
Department Of Cardiology Okayama Red Cross General Hospital
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Yoshioka Ryo
Department of Cardiology, Okayama Red Cross General Hospital
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Hioka Toru
Department of Cardiology, Okayama Red Cross General Hospital
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Maekawa Kiyoaki
Cardiovascular Medicine, Okayama Red Cross General Hospital
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Fuke Soichiro
Cardiovascular Medicine, Okayama Red Cross General Hospital
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Yoshioka Ryo
Cardiovascular Medicine, Okayama Red Cross General Hospital
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Saito Hironori
Cardiovascular Medicine, Okayama Red Cross General Hospital
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Sato Tetsuya
Cardiovascular Medicine, Okayama Red Cross General Hospital
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Hioka Toru
Cardiovascular Medicine, Okayama Red Cross General Hospital
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Sato Tetsuya
Department Of Cardiology Okayama Redcross Hospital
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Hioka Toru
Department Of Cardiology Okayama Red Cross General Hospital
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Hioka Toru
Cardiovascular Medicine Okayama Redcross Hospital
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Yoshioka Ryo
Department Of Cardiology Okayama Red Cross General Hospital
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Maekawa Kiyoaki
Department Of Cardiovascular Medicine Okayama Red Cross General Hospital
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Fuke Soichiro
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicene Dentisty And Ph
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Sato Tetsuya
The Department Of Cardiovascular Medicine Matsuyama City Hospital
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Sato Tetsuya
Cardiovascular Medicine Okayama Red Cross General Hospital
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Fuke Soichiro
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Denistry And Pharmaceutical Sciences
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Maekawa Kiyoaki
Cardiovascular Medicine Okayama Redcross Hospital
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