By W. Mohl, D. Faxon, E. Wolner
Editorial.- record of the overseas operating crew on coronary sinus interventions.- The so-called “silent sector” of the coronary sinus.- influx, outflow and pressures within the coronary circulation.- Coronary sinus interventions: medical application.- The promise and barriers of coronary venous retroperfusion: classes from the previous and new directions.- Synchronized coronary sinus retroperfusion present scientific perspective.- PICSO prestige record 1985.- Retrograde cardioplegia: myocardial defense through the coronary veins — 1986.- Technological elements of coronary sinus interventions.- professionals and cons — coronary sinus intervention vs. traditional therapy.- CSI: transitority aid or long term treatment.
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Additional info for CSI — A New Approach to Interventional Cardiology
Since an increase of the coronary sinus pressure reduces coronary blood flow, the resulting reduction of energy turnover may contribute to the beneficial effect of prcso. 25 References 1. Ciuffo AA, Guerci AD, Halperin H, Bulkley G, Casale A, Weisfeldt ML (1984) Intermittent Obstruction of the Coronary Sinus Following Coronary Ligation in Dogs Reduces Ischemic Necrosis and Increases Myocardial Perfusion. In: Mohl W, Wolner E, Glogar D (eds) The Coronary Sinus. SteinkopffVerlag, Darmstadt, pp 454-464 2.
Indeed, in preliminary studies by Aigner et al. (I) it has been shown that coronary sinus occlusion pressure in systole and diastole is a complex function which is related to risk region following coronary artery occlusion. The evaluation of the hemodynamic correlates of coronary sinus occlusion pressure has been performed in humans by Faxon et al. (9). In 27 patients undergoing diagnostic cardiac catheterization, a 7F balloon-tipped catheter (Swan-Ganz thermodilution catheter, n = 15; Bairn coronary sinus thermodilution catheter, n = 12) was positioned in the coronary sinus under fluoroscopic guidance and pressure monitoring.
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.
CSI — A New Approach to Interventional Cardiology by W. Mohl, D. Faxon, E. Wolner