A myocardial infarction (MI) occurs when blood supply to the heart is cut off by a blockage in one of the coronary arteries. Most hospitals treat a patient with thrombolysis or a percutaneous coronary intervention (PCI). The latter has been established as the preferred revascularization method. However, the American College of Cardiologists and the American Heart Association strongly recommend ...

BACKGROUND Optimal reperfusion strategy in ST-elevation myocardial infarction is controversial. Failure of fibrinolytic therapy is related to limited efficacy, high reocclusion rates, reinfarction, and systemic bleeding complications. Data on the impact of percutaneous coronary intervention (PCI) after fibrinolysis are conflicting. The Southwest German Interventional Study in Acute Myocardial I...

The choice between reperfusion strategies to manage ST-segment elevation acute myocardial infarction is a topic of immense interest, given the frequency of STEMI, its short-term mortality, and the potential impact on organization of acute cardiac care. There is general agreement that primary PCI, performed in timely fashion in an experienced centre, is an excellent and probably the best strateg...

Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy for the patient with STelevation myocardial infarction (STEMI) regardless of whether they present to a PCI or non–PCI-capable hospital.2,3 These recommendations, based on randomized clinical trials and subsequent meta-analysis and meta-regression of these trials,4,5 are accompanied by a caveat: PCI must be pe...

background: due to the positive relation between platelet size and platelet reactivity, a high value of the mean platelet volume (mpv) is an independent risk factor to predict acute myocardial infarction (ami) and its adverse outcome. few data are available to determinate the prognostic value of mpv in st-elevation myocardial infarction (stemi) patients treated with percutaneous coronary interv...

et al., in their current letter, came from previous suggestions and analyses done by experts (as we stated in our methods section) and it was a predefined form of subgroup analysis to assess whether the main result was also maintained in the subgroups, or there were different trends, as previously explained. Indeed, we also performed other subgroup analyses, but they were all burdened by signif...

OBJECTIVES To study the causes of and to develop a risk score for failure of transradial approach (TRA) for percutaneous coronary intervention (PCI). BACKGROUND TRA-PCI failure has been reported in 5% to 10% of cases. METHODS TRA-PCI failure was categorized as primary (clinical reasons) or crossover failure. Multivariate analysis was performed to determine independent predictors of TRA-PCI ...

The clinical benefit of percutaneous intervention (PCI) depends on both angiographic success at the site of intervention as well as the restoration of adequate microvascular perfusion. Saphenous vein graft intervention is commonly associated with evidence of distal plaque embolization, which is correlated with worse clinical outcomes. Despite successful epicardial intervention in the acute MI p...

OBJECTIVE To evaluate the impact of Export Aspiration Catheter with restoration of ECG changes, arterial flow and myocardial perfusion in patients with ST segment elevation Myocardial Infarction undergoing Percutaneous Coronary Intervention (PCI). METHODS A total of 40 consecutive patients with ST Segment Elevation Myocardial Infarction (STEMI) were selected. They underwent treatment accordin...

Prior to the widespread adoption of intracoronary stent implantation, potential complications of percutaneous coronary intervention (PCI) necessitated the presence of backup cardiac surgery. However, as stent implantation has become the predominant form of PCI, the incidence of emergent cardiac surgery has declined exponentially. Despite this, current guidelines recommend against the performanc...