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
Hauptverfasser: 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
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container_title The American heart journal
container_volume 160
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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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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