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Choice of vascular access in primary PCI

Minerva Cardiology and Angiology, 2018
Primary angioplasty (PPCI), introduced in the early '90s, has now become the preferred reperfusion strategy in ST-segment elevation myocardial infarction (STEMI). PPCI has traditionally been performed through transfemoral artery access (TFA) for about two decades.
Francesco, Tomassini   +5 more
openaire   +2 more sources

Variation in primary PCI in England

Heart, 2016
The introduction of Primary Percutaneous Coronary Intervention (PPCI) for the treatment of acute ST elevation myocardial infarction (STEMI) represents one of the success stories of modern cardiovascular care. However, unlike a new medication, it requires system-wide change.
openaire   +2 more sources

Transradial primary PCI: this is the time for awareness

Heart, 2011
To the Editor Things take some time to change, but we are on the right path. I must respectfully disagree, however, with the conclusions reached by Patterson and Foale on the performance of transradial primary percutaneous coronary interventions (PCIs).1 After a brief history of the technique and despite an overview of the enormous advantages derived ...
openaire   +2 more sources

Combination Antithrombotic Management of STEMI with Pharmacoinvasive Strategy, Primary PCI, or Rescue PCI

Interventional Cardiology Clinics, 2013
The mainstay of acute ST segment elevation myocardial infarction (STEMI) emergent management consists of reperfusion therapy combined with antithrombotic treatment. Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy for STEMI. Rescue PCI consists of urgent transfer for PCI of patients with failed fibrinolysis.
Capranzano, Piera   +2 more
openaire   +2 more sources

Antithrombotic Therapy to Support Primary PCI

New England Journal of Medicine, 2008
The goals of the initial management of ST-segment elevation myocardial infarction include swift restoration of flow within the occluded coronary artery, prevention of early reinfarction, and avoidance of complications of reperfusion therapy.1,2 The selection of the reperfusion strategy, either the preferred percutaneous coronary intervention (PCI) or ...
openaire   +2 more sources

Cilostazol and Primary-PCI: Mirage or Good Alternative?

Current Vascular Pharmacology, 2012
Oral anti-platelet agents targeting the platelet P2Y12 receptor are an integral component of treating patients undergoing percutaneous coronary interventions. Advancements in the design of stents and catheters are pushing the technique towards treatment of high risk lesions whose failure would expose patients to catastrophic events.
Porto, Italo   +2 more
openaire   +5 more sources

Balancing Thrombotic Events and Bleeding in Primary PCI

New England Journal of Medicine, 2013
Primary percutaneous coronary intervention (PCI) has become the preferred method of reperfusion for patients with ST-segment elevation myocardial infarction (STEMI) when the procedure can be performed promptly by experts. Anticoagulation is important in patients undergoing primary PCI because it prevents acute thrombus formation at the site of arterial
openaire   +2 more sources

Anticoagulation After Primary PCI

JACC: Cardiovascular Interventions, 2022
Felice Gragnano, Paolo CalabrĂ²
openaire   +1 more source

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