Complete occlusion of coronary artery is denoted by which score in TIMI by angiography?

## Core Concept
The Thrombolysis In Myocardial Infarction (TIMI) score is a system used to grade the flow of blood through a coronary artery after a myocardial infarction or during an angiography procedure. It is crucial in assessing the severity of coronary artery blockage and the success of interventions like thrombolysis or angioplasty.

## Why the Correct Answer is Right
The TIMI scoring system ranges from 0 to 3, where:
- **TIMI 0** flow indicates no perfusion beyond the point of occlusion.
- **TIMI 1** flow shows some perfusion beyond the occlusion but not complete.
- **TIMI 2** flow indicates partial perfusion.
- **TIMI 3** flow denotes full perfusion.

Complete occlusion of a coronary artery means there is no blood flow past the occlusion, which corresponds to **TIMI 0** flow. Therefore, complete occlusion is denoted by a TIMI score of 0.

## Why Each Wrong Option is Incorrect
- **Option A:** - This option suggests a TIMI score of 1, which indicates some perfusion beyond the occlusion but not complete, hence incorrect for complete occlusion.
- **Option B:** - This option suggests a TIMI score of 2, indicating partial perfusion, which is also incorrect for complete occlusion.
- **Option C:** - This option suggests a TIMI score of 3, indicating full perfusion, which is the opposite of complete occlusion.
- **Option D:** - Although not explicitly listed, based on the correct answer provided, corresponds to TIMI 0.

## Clinical Pearl / High-Yield Fact
A key point to remember is that the TIMI score is not only useful for assessing the initial blockage but also for evaluating the outcome of interventions. For instance, achieving a TIMI 3 flow is a goal of reperfusion therapy in acute myocardial infarction, as it is associated with better outcomes.

## Correct Answer Line
**Correct Answer: D. **