Angiographic assessment of microvascular perfusion—Myocardial blush in clinical practice
Assessment of myocardial “blush” by either Myocardial Blush Grade or TIMI Myocardial Perfusion Grade, is the angiographic method currently preferred to confirm myocardial tissue-level perfusion after primary percutaneous intervention. This review focuses on the utility of angiographic “blush” as a s...
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Veröffentlicht in: | The American heart journal 2010-12, Vol.160 (6), p.1015-1022 |
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creator | Porto, Italo, MD, PhD Hamilton-Craig, Christian, MBBS, FRACP Brancati, Marta, MD Burzotta, Francesco, MD, PhD Galiuto, Leonarda, MD, PhD, FESC Crea, Filippo, MD, FACC |
description | Assessment of myocardial “blush” by either Myocardial Blush Grade or TIMI Myocardial Perfusion Grade, is the angiographic method currently preferred to confirm myocardial tissue-level perfusion after primary percutaneous intervention. This review focuses on the utility of angiographic “blush” as a simple, widely available, and virtually costless technique for the immediate diagnosis of microvascular impairment at the time of acute catheterization. We comprehensively outline the available evidence behind the “blush,” its use in clinical practice, and draw comparisons with other new technologies for assessment of microvascular integrity. |
doi_str_mv | 10.1016/j.ahj.2010.08.009 |
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This review focuses on the utility of angiographic “blush” as a simple, widely available, and virtually costless technique for the immediate diagnosis of microvascular impairment at the time of acute catheterization. We comprehensively outline the available evidence behind the “blush,” its use in clinical practice, and draw comparisons with other new technologies for assessment of microvascular integrity.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2010.08.009</identifier><identifier>PMID: 21146652</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Angioplasty, Balloon, Coronary ; Biological and medical sciences ; Cardiology ; Cardiology. 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All rights reserved.</rights><rights>Copyright Elsevier Limited Dec 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-7346612d4d374cb25c28c9273bbedf3d60a67025cbb9809dc704ead64492201b3</citedby><cites>FETCH-LOGICAL-c465t-7346612d4d374cb25c28c9273bbedf3d60a67025cbb9809dc704ead64492201b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1504639881?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23740941$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21146652$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Porto, Italo, MD, PhD</creatorcontrib><creatorcontrib>Hamilton-Craig, Christian, MBBS, FRACP</creatorcontrib><creatorcontrib>Brancati, Marta, MD</creatorcontrib><creatorcontrib>Burzotta, Francesco, MD, PhD</creatorcontrib><creatorcontrib>Galiuto, Leonarda, MD, PhD, FESC</creatorcontrib><creatorcontrib>Crea, Filippo, MD, FACC</creatorcontrib><title>Angiographic assessment of microvascular perfusion—Myocardial blush in clinical practice</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Assessment of myocardial “blush” by either Myocardial Blush Grade or TIMI Myocardial Perfusion Grade, is the angiographic method currently preferred to confirm myocardial tissue-level perfusion after primary percutaneous intervention. This review focuses on the utility of angiographic “blush” as a simple, widely available, and virtually costless technique for the immediate diagnosis of microvascular impairment at the time of acute catheterization. We comprehensively outline the available evidence behind the “blush,” its use in clinical practice, and draw comparisons with other new technologies for assessment of microvascular integrity.</description><subject>Angioplasty, Balloon, Coronary</subject><subject>Biological and medical sciences</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Cardiovascular system</subject><subject>Catheters</subject><subject>Clinical medicine</subject><subject>Clinical trials</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Circulation - physiology</subject><subject>Coronary vessels</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Intubation</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Microcirculation</subject><subject>Mortality</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Radiodiagnosis. Nmr imagery. 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Vascular system</topic><topic>Cardiovascular</topic><topic>Cardiovascular system</topic><topic>Catheters</topic><topic>Clinical medicine</topic><topic>Clinical trials</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Circulation - physiology</topic><topic>Coronary vessels</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Intubation</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Microcirculation</topic><topic>Mortality</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Radiodiagnosis. Nmr imagery. 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subjects | Angioplasty, Balloon, Coronary Biological and medical sciences Cardiology Cardiology. Vascular system Cardiovascular Cardiovascular system Catheters Clinical medicine Clinical trials Coronary Angiography - methods Coronary Circulation - physiology Coronary vessels Heart attacks Humans Intubation Investigative techniques, diagnostic techniques (general aspects) Medical imaging Medical sciences Methods Microcirculation Mortality Myocardial Infarction - diagnostic imaging Myocardial Infarction - physiopathology Myocardial Infarction - therapy Radiodiagnosis. Nmr imagery. Nmr spectrometry Severity of Illness Index Veins & arteries |
title | Angiographic assessment of microvascular perfusion—Myocardial blush in clinical practice |
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