Update on primary PCI for patients with STEMI

Trends Cardiovasc Med. 2017 Feb;27(2):95-102. doi: 10.1016/j.tcm.2016.06.010. Epub 2016 Jun 27.

Abstract

Primary PCI is the dominant reperfusion strategy for patients with ST-elevation myocardial infarction and continues to evolve. The purpose of this review is to summarize recent reports that focused on the relationship of door-to-balloon time with mortality, radial versus femoral artery access, aspiration thrombectomy, culprit versus multivessel primary PCI, drug-eluting stents, and anticoagulation and antiplatelet therapies.

Keywords: Coronary artery disease; Myocardial infarction; Percutaneous coronary intervention.

Publication types

  • Review

MeSH terms

  • Anticoagulants / administration & dosage
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / therapy*
  • Drug Administration Schedule
  • Drug-Eluting Stents
  • Femoral Artery
  • Humans
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / instrumentation
  • Percutaneous Coronary Intervention* / methods
  • Percutaneous Coronary Intervention* / mortality
  • Platelet Aggregation Inhibitors / administration & dosage
  • Punctures
  • Radial Artery
  • Risk Factors
  • ST Elevation Myocardial Infarction / diagnosis
  • ST Elevation Myocardial Infarction / mortality
  • ST Elevation Myocardial Infarction / physiopathology
  • ST Elevation Myocardial Infarction / therapy*
  • Thrombectomy
  • Time Factors
  • Time-to-Treatment
  • Treatment Outcome

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors