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Thromb Haemost 1999; 82(S 01): 160-163
DOI: 10.1055/s-0037-1615576
Commentaries
Schattauer GmbH

Primary Stenting for Acute Myocardial Infarction

J. Peter
1   From the University of Texas Medical School at Houston and the Hermann Heart Center, Houston, Texas
,
A. Yhip
1   From the University of Texas Medical School at Houston and the Hermann Heart Center, Houston, Texas
,
Richard W. Smalling
1   From the University of Texas Medical School at Houston and the Hermann Heart Center, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
14 December 2017 (online)

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Summary

Primary stenting for acute MI has been shown to be an improvement over PTCA alone. As with primary PTCA however there is an obligate delay in restoration of TIMI flow due to the time necessary for mobilization of the cath lab team. It is possible that a hybrid approach using partial thrombolysis plus early IIB/IIIA inhibitor administration followed by urgent angiography and stenting of the culprit lesion will be the ideal approach.

Key words

Stenting - PTCA - revascularisation
 

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