Skip to main content
Heart logoLink to Heart
. 1997 Jan;77(1):78–81. doi: 10.1136/hrt.77.1.78

Intracoronary demonstration of adenosine-induced coronary collateral steal.

C Seiler 1, U Kaufmann 1, B Meier 1
PMCID: PMC484640  PMID: 9038700

Abstract

A steal phenomenon was detected by intravascular Doppler guidewire in a patient with a well collateralised coronary vascular area supplied by a reopened left circumflex coronary artery. This phenomenon accounted for the fall in blood flow velocity reserve during hyperaemic conditions to 50% of the baseline value. The collaterals must have been the cause of the steal phenomenon because complete revascularisation of the lesion barely reversed it.

Full text

PDF
78

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Becker L. C. Conditions for vasodilator-induced coronary steal in experimental myocardial ischemia. Circulation. 1978 Jun;57(6):1103–1110. doi: 10.1161/01.cir.57.6.1103. [DOI] [PubMed] [Google Scholar]
  2. Bodenheimer M. M., Banka V. S., Helfant R. H. Nuclear cardiology. II. The role of myocardial perfusion imaging using thallium-201 in diagnosis of coronary heart disease. Am J Cardiol. 1980 Mar;45(3):674–684. doi: 10.1016/s0002-9149(80)80021-x. [DOI] [PubMed] [Google Scholar]
  3. FAM W. M., MCGREGOR M. EFFECT OF CORONARY VASODILATOR DRUGS ON RETROGRADE FLOW IN AREAS OF CHRONIC MYOCARDIAL ISCHEMIA. Circ Res. 1964 Oct;15:355–364. doi: 10.1161/01.res.15.4.355. [DOI] [PubMed] [Google Scholar]
  4. Gross G. J., Warltier D. C. Coronary steal in four models of single or multiple vessel obstruction in dogs. Am J Cardiol. 1981 Jul;48(1):84–92. doi: 10.1016/0002-9149(81)90575-0. [DOI] [PubMed] [Google Scholar]
  5. Kern M. J., Wolford T., Donohue T. J., Bach R. G., Aguirre F. V., Caracciolo E. A., Flynn M. S. Quantitative demonstration of dipyridamole-induced coronary steal and alteration by angioplasty in man: analysis by simultaneous, continuous dual Doppler spectral flow velocity. Cathet Cardiovasc Diagn. 1993 Aug;29(4):329–334. doi: 10.1002/ccd.1810290419. [DOI] [PubMed] [Google Scholar]
  6. Patterson R. E., Kirk E. S. Coronary steal mechanisms in dogs with one-vessel occlusion and other arteries normal. Circulation. 1983 May;67(5):1009–1015. doi: 10.1161/01.cir.67.5.1009. [DOI] [PubMed] [Google Scholar]

Articles from Heart are provided here courtesy of BMJ Publishing Group

RESOURCES