In the paper "Relationship between no-reflow phenomenon and serotonin levels in patients with acute ST-elevation myocardial infarction who underwent primary percutaneous intervention
" (3) Topsakal et al.
"I believe there is compelling evidence now that coronary bypass is superior to percutaneous intervention
for patients with multivessel disease," said Dr.
However, those studies involved follow-up of only 6-24 months' duration--not long enough for the early hazards of percutaneous intervention
or coronary artery bypass surgery to be outweighed by the longer-term benefits of the resultant improved coronary perfusion.
Transcatheter closure of the CAF was found safe and effective percutaneous intervention
with high success rate and good safety profile in hands of skilled operators.
can be safely used in a patient with coronary artery disease and renal artery stenosis.
"The 2004 statistics indicate that in the United States about 60% of cardiac deaths occur before patients reach the hospital, or the death occurs in the emergency department before patients reach the catheterization laboratory for percutaneous intervention
. So I think there is a strong need to improve diagnostics for the detection of coronary artery disease if we want to significantly reduce the rate of fatal MI," he argued.
The SYNTAX 7 (synergy between percutaneous intervention
with taxus and cardiac surgery) provides the largest data regarding early and late outcomes of PCI of LMS.
Their use has notably increased in high-risk percutaneous intervention
, advanced heart failure, and acute myocardial infarction with or without cardiogenic shock, but use in other clinical scenarios has been fairly limited until recently .
The patients found to have a significant CAD, if eligible for percutaneous intervention
, underwent closure of the ASD followed by PCI to the affected vessels.
-- Prompt percutaneous intervention
in acute MI patients who present more than 12 hours after onset of chest pain and are no longer symptomatic results in significantly reduced final infarct size, compared with standard medical management, according to the findings of the first randomized trial of an acute invasive strategy in such patients.
Randomized comparison of distal protection with a filter-based catheter and a balloon occlusion and aspiration system during percutaneous intervention
of diseased saphenous vein aorto-coronary bypass grafts.
Recent studies comparing the safety of radial versus femoral access for percutaneous intervention
in ST elevation myocardial infarction have demonstrated a mortality benefit to radial access, decreased risk of major bleeding, and relative risk reduction in bleeding at the access site .