David P. Faxon

ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: Executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines

Sharon A. Hunt, MD, FACC, Chair; David W. Baker, MD, MPH, FACP; Marshall H. Chin, MD, MPH; Michael P. Cinquegrani, MD, FACC; Arthur M. Feldman, MD, PhD, FACC; Gary S. Francis, MD, FACC; Theodore G. Ganiats, MD; Sidney Goldstein, MD, FACC; Gabriel Gregoratos, MD, FACC; Mariell L. Jessup, MD, FACC; R. Joseph Noble, MD, FACC; Milton Packer, MD, FACC; Marc A. Silver, MD, FACC, FACP, FCCP, FCGC; Lynne Warner Stevenson, MD, FACC

Synchronized Coronary Venous Retroperfusion During Coronary Angioplasty

Synchronized diastolic coronary venous retroperfusion is a technique by which autologous arterial blood is shunted from the femoral artery into the coronary veins. Phasic diastolic occlusion of the coronary sinus by a balloon catheter compartmentalizes the coronary venous system, preventing regurgitation of arterial blood into the right atrium. Triggered collapse of the balloon during systole facilitates normal physiologic coronary venous drainage and prevents the complications of prolonged elevation of coronary sinus pressure [1,2].