J Transcat Intervent.2019;27:eA20180005.

Refractory no-reflow phenomenon. Keep calm and watchful waiting!

María Thiscal López-Lluva, Alfonso Jurado-Román, Ignacio Sánchez-Pérez, José Abellán-Huerta, Jesús Piqueras-Flores, Ramón Maseda-Uriza, Fernando Lozano Ruíz-Poveda

DOI: 10.31160/JOTCI201927A20180005

ABSTRACT

Risk awareness of no-reflow is mandatory, especially in patients with cardiovascular risk factors, long door-to-balloon time, and in the presence of angiographic evidence of a large thrombus burden. Some preventive strategies have been described. Nevertheless, in clinical practice, is difficult to avoid no-reflow. Interventional cardiologists have no guidelines or recommendations for this situation. We suggest that a conservative management with dual antiplatelet therapy and slow intravenous infusion of nitroglycerine over 12 to 24 hours and abciximab, followed by deferred re-evaluation days later could be a good strategy for refractory no-reflow.

Refractory no-reflow phenomenon. Keep calm and watchful waiting!

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