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Editorial
. 2020 May 1;95(6):1109-1110.
doi: 10.1002/ccd.28923.

The Robin Hood effect!

E Marc Jolicoeur  1 , Timothy D Henry  2
Affiliations
Editorial

The Robin Hood effect!

E Marc Jolicoeur et al. Catheter Cardiovasc Interv. .

Abstract

Results from this analysis support the hypothesis that the reduction of the coronary sinus redistributes coronary flow in the myocardium. The results from this analysis must be interpreted with caution; while being the first report of its kind, the small sample size and methodological flaws limit the generalizability of the findings. Future studies should investigate the use of the coronary sinus reducer to improve myocardial function in patients with ischemic cardiomyopathy.

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References

REFERENCES

    1. Verheye S, Jolicoeur EM, Behan MW, et al. Efficacy of a device to narrow the coronary sinus in refractory angina. N Engl J Med. 2015;372(6):519-527.
    1. Konigstein M, Giannini F, Banai S. The reducer device in patients with angina pectoris: mechanisms, indications, and perspectives. Eur Heart J. 2018;39(11):925-933.
    1. Ido A, Hasebe N, Matsuhashi H, Kikuchi K. Coronary sinus occlusion enhances coronary collateral flow and reduces subendocardial ischemia. Am J Physiol Heart Circ Physiol. 2001;280:H1361-H1367.
    1. Tzanis G, Palmisano A, Gallone G, et al. The impact of the coronary sinus reducer upon left ventricular function in patients with refractory angina pectoris. Catheter Cardiovasc Interv. 2020;95:1104-1108.
    1. Jolicoeur EM, Dunning A, Castelvecchio S, et al. Importance of angina in patients with coronary disease, heart failure and left ventricular systolic dysfunction: insights from STITCH. J Am Coll Cardiol. 2015;66:2092-2100.

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