By W. Mohl, D. Faxon, E. Wolner
Editorial.- document of the foreign operating workforce on coronary sinus interventions.- The so-called “silent quarter” of the coronary sinus.- influx, outflow and pressures within the coronary circulation.- Coronary sinus interventions: medical application.- The promise and boundaries of coronary venous retroperfusion: classes from the previous and new directions.- Synchronized coronary sinus retroperfusion present medical perspective.- PICSO prestige file 1985.- Retrograde cardioplegia: myocardial defense through the coronary veins — 1986.- Technological points of coronary sinus interventions.- execs and cons — coronary sinus intervention vs. traditional therapy.- CSI: transitority help or long term remedy.
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Extra resources for CSI — A New Approach to Interventional Cardiology
There is strong evidence to suggest that SRP and PICSO will be effective in salvaging myocardium during myocardial infarction as well as during reperfusion. Retroinfusion via the coronary sinus of cardioplegic solutions or pharmacologic agents appears to be a promising technique in selected patients. Current clinical studies will probably document a role for PICSO in the reperfusion period during cardiac surgery. As with any new therapy, the coronary sinus interventions will of necessity be as good as or better than current medical and or surgical therapy.
Olsen (88) reviewing the retrovenous arterialization of ischemic myocardium, felt in 1975 that the following questions still remained to be answered through anatomic and functional study: Where does the retroperfusate go? To what extent does retroperfusion create arterio-venous shunts? What alterations occur in the coronary vein and myocardium in the long term? Will collaterals develop from the venous system to other veins and/or the heart cavities? In 1980, Lolley (74) performed an asanguinous retroperfusion of the coronary sinus, and found that it can penetrate a significant microvascular bed in proximity to myocardial cells.
Walter PJ, Kindl F, Podzuweit T, Schaper J (1984) Metabolic and ultrastructural changes in the ischemic human myocardium due to additional perfusion of the coronary sinus with "Bretschneider cardioplegic solution". In: Mohl W, Wolner E, Glogar D (eds) The Coronary Sinus. SteinkopffVerlag, Darmstadt, pp 284-290 39. Weam JT (1928) The role of the Thebesian vessels in the circulation of the heart. J Exp Med 47: 293-316 40. Yamazaki S, Drury lK, Meerbaum S, Corday E (1984) Effects of synchronized retroperfusion on left ventricular function measured by two dimensional echocardiography.
CSI — A New Approach to Interventional Cardiology by W. Mohl, D. Faxon, E. Wolner