The year 2013 was rich of new developments in cardiology, and percutaneous coronary intervention (PCI) in particular. This overview article will focus on contributions in the following areas: training for PCI, appropriateness and indications; access site selection, risk scores, peri-procedural myocardial infarction; trial results and long-term follow-up; PCI for specific patient and lesion subs...

Introduction Percutaneous coronary interventions (PCI), like angioplasty or stents, are well established and reflected in DRG payment. However, recent scientific evidence shows that a significant number of patients having socalled intermediate stenoses (i.e., a stenosis diameter bt. 40%–70% of the total coronary calibre) do not necessarily profit from PCI. A diagnostic test – the measurement of...

Background and Objective: Acute myocardial infarction (MI) is caused due to coronary artery occlusion and divided into two forms of ST-elevation (STEMI) and non-ST-elevation (NSTEMI) myocardial infarction. This study aimed to determine the success rate of treatment with primary PCI (percutaneous coronary intervention) versus thrombolysis in the establishment of perfusion and to evaluate the sho...

Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Patients: 1800 patients (mean age 65 y, 78% men, mean SYNTAX score 28.7) who had de novo 3-vessel (3V) disease and/or left main coronary disease and...

Primary percutaneous coronary intervention (PCI) is a standard interventional treatment modality for ST-segment elevation myocardial infarction (STEMI). Diagnostic coronary angiogram during PCI reveals multivessel coronary artery disease in about half of patients with STEMI, and it is difficult to make decision on the extent of intervention in these patients. Although revascularization for the ...

introduction : significant left main coronary artery stenosis jeopardizes the entire myocardium of the left ventricle and has the worst prognosis of any form of coronary artery disease. coronary-artery bypass grafting (cabg) has been considered as the standard therapeutic approach for such patients. there are limited data on the safety and effectiveness of percutaneous coronary intervention (pc...

Background: The SYNergy between Percutaneous Coronary Intervention with TAXus and Cardiac Surgery (SYNTAX) score is a scoring system that helps to decide on surgery or percutaneous coronary intervention (PCI) in patients acute myocardial infarction (MI), studies are showing the prognostic value of this both AMI artery disease undergoing PCI. In syndrome (ACS) patients, infarct-related complexit...

conclusion: post-procedure hemoglobin dropping may be considered as a predictor of cardiac adverse outcome in patients undergoing pci. we suggest that a good bleeding control during and after the procedure can reduce the risk of cardiac enzyme elevation post-procedurally. results: all categories divided by cardiac enzyme status either in positive or in negative groups were classified in non-ane...

Emergency percutaneous coronary intervention (PCI) is a critically important reperfusion strategy for myocardial salvage in the event of acute ST elevation infarction (STEMI). However, it poses great challenges to treating cardiologist if there simultaneous cerebral because potential intracranial complications. Particularly, use dual antiplatelet and high dose anticoagulants during PCI has been...

Coronary artery perforation is a rare but catastrophic complication of percutaneous coronary intervention (PCI). Grade III coronary perforation and rupture invariably results in pericardial effusion and tamponade requiring urgent pericardiocentesis. Advances in coronary intervention have increased the opportunity to treat coronary artery perforation. We are reporting a case of 55 years old hype...