In order to study the effects of residual stenosis on myocardial salvage, we created
99
% coronary stenosis with or without contrast washout delay at reperfusion in six groups of dogs. In Group A (n=
8
), the artery was occluded for 1h before being fully reperfused. In Group
B
(n=
9
), the artery was occluded for 1h, then subjected to 6h of
99
% stenosis without contrast washout delay. In Group C (n=
8
), the artery was occluded for 1h, followed by 1 week of
99
% stenosis without contrast washout delay. In Group D (n=10). again the artery was occluded for 1h, then subjected to 6h of
99
% stenosis with contrast washout delay. In Group
E
(n=
8
). the artery was occluded for 7h, then fully reperfused for 1 week. Finally, in Group F (n=
8
). the occlusion lasted for a full week. All dogs were sacrificed 1 week after occlusion. In Group A, myocardial creatine phosphokinase activity (CK) in the inner layer was 43.
8
±12.5% that of non-infarcted myocardium. Myocardial CK in Group
B
(46.5±7.4%) was little different but in Group C it dropped to 26.6±
8
.4%, suggesting that
99
% residual stenosis is not deleterious if it is continued for 6h or less but that it will result in considerable depletion of myocardial CK, if it is sustained for 1 week. In Group D, myocardial CK dropped markedly to 11.3±3.7%, little different from that for either Group
E
(13.3±2.6%) or Group F (
9
.3±3.3%). This suggests that contrast washout de-lay following
99
% stenosis is not beneficial to myocardial salvage. Infarct size, as determined using triphenyl tetrazolium chloride as a stain was smallest for Group A (6.
8
±3.6%) and largest for Group F (62.6±
9
.
8
%). Group
B
showed smaller infarct size (13.2±3.7%) than did either Group D (27.
0
±5.5%) or Group
E
(25.3±6.3%). From this. we came to the conclusion that
99
% residual stenosis without contrast washout delay is not deleterious provided it is sustained for 6h or less.
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