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Intracoronary demonstration of adenosine-induced coronary collateral steal.
  1. C. Seiler,
  2. U. Kaufmann,
  3. B. Meier
  1. University Hospital, Bern, Switzerland.


    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.

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