RT Book, Section
A1 O’Neill, William
A1 Grines, Cindy
A1 Dangas, George
A2 Fuster, Valentin
A2 Harrington, Robert A.
A2 Narula, Jagat
A2 Eapen, Zubin J.
SR Print(0)
ID 1161730727
T1 PERCUTANEOUS CORONARY INTERVENTIONS IN ACUTE MYOCARDIAL INFARCTION AND ACUTE CORONARY SYNDROMES
T2 Hurst's The Heart, 14e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071843249
LK accessmedicine.mhmedical.com/content.aspx?aid=1161730727
RD 2024/04/18
AB At  its  inception,1  coronary  angioplasty  was  envisioned  as  a  procedure  for  patients  with  stable,  single-vessel  coronary  artery  disease  (CAD).  Original  angioplasty  balloon  catheters  were  too  large,  bulky,  and  difficult  to  navigate  through  vessels  other  than  the  proximal  portions  of  major  epicardial  vessels.  Coronary  lesions  were  required  to  be  concentric  and  noncalcified.  Even  in  these  simple  lesions,  the  initial  success  rate  was  64%.2  Over  the  past  40  years,  improvements  in  catheter  design,  development  of  atraumatic  steerable  guidewires,  development  of  flexible,  highly  deliverable  stents,  and  development  of  highly  effective  antithrombotic  and  antiplatelet  therapy  have  made  percutaneous  coronary  intervention  (PCI)  a  dominant  revascularization  strategy.  Furthermore,  use  of  PCI  has  revolutionized  the  care  of  patients  with  acute  myocardial  infarction  (AMI)  and  acute  coronary  syndrome  (ACS).