Guidelines recommend primary percutaneous coronary intervention (PCI) in patients with ST-segment–elevation myocardial infarction (STEMI) presenting ≥12 hours of symptom onset in the presence of ongoing ischemia.
Similarly one may ask, how is PCI done?
A catheter is inserted into the blood vessels either in the groin or in the arm. Using a special type of X-ray called fluoroscopy, the catheter is threaded through the blood vessels into the heart where the coronary artery is narrowed. When the tip is in place, a balloon tip covered with a stent is inflated.
Also question is, what is PCI procedure?
Percutaneous coronary intervention (PCI) refers to a family of minimally invasive procedures used to open clogged coronary arteries (those that deliver blood to the heart). By restoring blood flow, the treatment can improve symptoms of blocked arteries, such as chest pain or shortness of breath.
When is PCI not recommended?
Primary PCI is only indicated when symptoms duration is 12-24 hours (delayed presentation) if severe congestive heart failure, hemodynamic/electrical instability or continued angina is present. Primary PCI is not recommended when symptom onset is more than 12 hours and the patient is asymptomatic (OAT trial).
When is PCI used?
Percutaneous Coronary Intervention (PCI) is a procedure used to open blocked coronary arteries using angioplasty and stent implantation during a heart attack. The procedure is performed in the cardiac catheterization laboratory on an emergency basis.
Why is PCI preferred for STEMI?
Primary PCI is preferred over fibrinolytic therapy in patients with STEMI because it produces higher patency rates and does not cause intracranial bleeding. Unlike fibrinolysis, which only treats the thrombus, primary PCI also allows treatment of the underlying atherosclerotic plaque.