Abstract:
:The current guidelines of the European Society of Cardiology have up-dated and confirmed the role of a primary percutaneous coronary intervention (PCI) as the preferred reperfusion therapy in patients with acute coronary syndrome and ST-elevation. The establishment of regional network structures for implementation of this reperfusion strategy is recommended and described. Primary PCI should preferably be carried out via the transradial route and should include the implantation of modern drug-eluting stents. In most cases of coronary multivessel disease, primary PCI should be limited to the treatment of the infarcted artery. Routine mechanical thrombus aspiration during primary PCI is no longer recommended. Recommendations for a specific anti-thrombotic and secondary prophylactic medication after primary PCI are highlighted.
journal_name
Herzjournal_title
Herzauthors
Haude M,Rupprecht HJ,Schuster S,Uebis Rdoi
10.1007/s00059-018-4775-2subject
Has Abstractpub_date
2019-02-01 00:00:00pages
16-21issue
1eissn
0340-9937issn
1615-6692pii
10.1007/s00059-018-4775-2journal_volume
44pub_type
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