CSI — A New Approach to Interventional Cardiology by W. Mohl, D. Faxon, E. Wolner PDF

By W. Mohl, D. Faxon, E. Wolner

ISBN-10: 3662064332

ISBN-13: 9783662064337

ISBN-10: 3662064359

ISBN-13: 9783662064351

Editorial.- record of the foreign operating staff on coronary sinus interventions.- The so-called “silent region” of the coronary sinus.- influx, outflow and pressures within the coronary circulation.- Coronary sinus interventions: medical application.- The promise and obstacles of coronary venous retroperfusion: classes from the prior and new directions.- Synchronized coronary sinus retroperfusion present medical perspective.- PICSO prestige record 1985.- Retrograde cardioplegia: myocardial safeguard through the coronary veins — 1986.- Technological points of coronary sinus interventions.- execs and cons — coronary sinus intervention vs. traditional therapy.- CSI: transitority aid or long term treatment.

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Extra info for CSI — A New Approach to Interventional Cardiology

Example text

The left coronary artery and the coronary sinus with its contributing veins constitute the corresponding arterial and venous systems of the left ventricle. The superficial veins of the heart appeared to play the dominant role in draining the coronary vascular bed, and the two coronary venous systems featured many anastomoses, those between the anterior cardiac veins and those contributing to the coronary sinus being particularly extensive. When either superficial coronary venous system was acutely blocked, the coronary inflow to the respective myocardium was usually only moderately reduced, and the venous blood presumably shifted to other unblocked venous channels.

Grant (47) injected saline or chrome yellow gelatin into coronary veins at a low pressure of 20-50 mm Hg, and found effiuent to issue from Thebesian orifices into both ventricles as well as effiux from coronary arteries adjacent to the veins. Katz (66) found the outflow by the drainage channels (coronary sinus, Thebesians and right heart veins) to be widely variable. A. 40 drainage by the coronary sinus alone varied from 17-44% (average 32%). 3% into the left ventricle. Prinzmetal (96) utilized radioactive erythrocides and glass spheres, and established the existence of arterial-venous anastomosis.

Therefore, review of the existing data strongly supports a role for both SRP and PICSO in the treatment of acute myocardial infarction. Experimental studies document significant salvage of jeopardized myocardium and suggest the need for clinical evaluation. Fig. 1. ElTect of PICSO on infarct size expressed as percent of myocardium at risk. Mean ± SE. Group A: dogs treated with PIC SO. Group B: untreated controls. From: Glogar et al. (1984) Pressure controlled intermittent coronary sinus occlusian alTects the myocardium at risk and reduces infarct size.

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CSI — A New Approach to Interventional Cardiology by W. Mohl, D. Faxon, E. Wolner


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