13/01/2026
Must read this synopsis of article & think of it to include in our practice
Prophylactic Adenosine in SVG Interventions...
Step 1 ..See Global data
Slow Flow/No flow ..29% in ACS setting & 15 % in Stable settings of SVG intervention
Step 2..Only recommended prophylactic measure is use of EPD ,but know it is costly ,not available every where,need skills
Step 3..Our poulation
N=171 (142 ACS ,29 Stable setting)
we used liberous dose of adenosine(200-400ug ) as bolus just 30 seconds before balloon /stent inflation
Step 4..See results,
Slow flow ...4.8%
No reflow 1.2
Only in pts with base line TIMI flow 3 % ,& 0% in baseline TIMI flow >3%.
2ndly it proved very safe to give no significant brady or hypotention
https://www.sciencedirect.com/science/article/pii/S2772930325016084