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'''Percutaneous Coronary Intervention Microchapters
'''Percutaneous Coronary Intervention Guidelines Microchapters
'''
'''
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[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines|Home]]
[[Percutaneous coronary intervention: basic principles and guidelines|Home]]
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[[Angioplasty (patient information)|Patient Info]]
[[Angioplasty (patient information)|Patient Information]]
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[[Percutaneous coronary intervention overview|Overview]]
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PCI Approaches:
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Guideline Recommendations
CAD Revascularization:
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::[[Percutaneous coronary intervention heart team approach to revascularization decisions|Heart Team Approach to Revascularization Decisions]]
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CAD Revascularization:
::[[Percutaneous coronary intervention left main coronary artery disease|Left Main Coronary Artery Disease]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Heart Team Approach to Revascularization Decisions|Heart Team Approach to Revascularization Decisions]]
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:::[[Intervention in left main coronary artery disease]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Revascularization to Improve Survival: Left Main Coronary Artery Disease|Left Main Coronary Artery Disease]]
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::[[Percutaneous coronary intervention non-left main coronary artery disease|Non-Left Main Coronary Artery Disease]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Revascularization to Improve Survival: Non-Left Main Coronary Artery Disease|Non-Left Main Coronary Artery Disease]]
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::[[Percutaneous coronary intervention revascularization to improve symptoms|Revascularization to Improve Symptoms]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Revascularization to Improve Symptoms|Revascularization to Improve Symptoms]]
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::[[Percutaneous coronary intervention dual antiplatelet therapy compliance and stent thrombosis|Dual Antiplatelet Therapy Compliance and Stent Thrombosis]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Clinical factors that may influence the choice of revascularization: Dual Antiplatelet Therapy Compliance and Stent Thrombosis|Dual Antiplatelet Therapy Compliance and Stent Thrombosis]]
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!
:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Hybrid Coronary Revascularization|Hybrid Coronary Revascularization]]
::[[Percutaneous coronary intervention hybrid coronary revascularization|Hybrid Coronary Revascularization]]
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!


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Pre-procedural Considerations:
Pre-procedural Considerations:
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Radiation Safety|Radiation Safety]]
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::[[Percutaneous coronary intervention contrast-induced acute kidney injury|Contrast-Induced Acute Kidney Injury]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Contrast-Induced Acute Kidney Injury|Contrast-Induced Acute Kidney Injury]]
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::[[Percutaneous coronary intervention anaphylactoid reactions|Anaphylactoid Reactions]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Anaphylactoid Reactions|Anaphylactoid Reactions]]
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::[[Percutaneous coronary intervention statin treatment|Statin Treatment]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Statin Treatment|Statin Treatment]]
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::[[Percutaneous coronary intervention bleeding risk|Bleeding Risk]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Bleeding Risk|Bleeding Risk]]
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!
:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Role of Onsite Surgical Backup|Role of Onsite Surgical Backup:]]
::[[Percutaneous coronary intervention role of onsite surgical backup|Role of Onsite Surgical Backup]]
 
::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Primary PCI in Hospitals Without On-Site Surgical Backup|Primary PCI in Hospitals Without On-Site Surgical Backup]]
 
::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Elective PCI in Hospitals Without On-Site Surgical Backup|Elective PCI in Hospitals Without On-Site Surgical Backup]]
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Procedural Considerations:
Procedural Considerations:
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Vascular Access|Vascular Access]]
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:[[Percutaneous coronary intervention vascular access|Vascular Access]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#PCI in Specific Clinical Situations|PCI in Specific Clinical Situations:]]
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:PCI in Specific Clinical Situations:
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!


::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Patients With Asymptomatic Ischemia or CCS Class I or II Angina|PCI in patients with Asymptomatic Ischemia or CCS Class I or II Angina]]
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::[[Percutaneous coronary intervention asymptomatic ischemia or CCS class I or II angina|Asymptomatic Ischemia or CCS Class I or II Angina]]
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!


::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Patients With CCS Class III Angina|PCI in patients with CCS Class III Angina]]
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::[[Percutaneous coronary intervention CCS class III angina|CCS Class III Angina]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#PCI in patients with Unstable Angina/Non–ST-Elevation Myocardial Infarction|PCI in patients with Unstable Angina/Non–ST-Elevation Myocardial Infarction]]
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::[[Percutaneous coronary intervention unstable Angina/non-ST-elevation myocardial infarction|Unstable Angina/Non–ST-Elevation Myocardial Infarction]]
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!


::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#PCI in patients with ST-Elevation Myocardial Infarction|PCI in patients with ST-Elevation Myocardial Infarction]]
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::ST-Elevation Myocardial Infarction:
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!


:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Coronary Angiography Strategies in STEMI|Coronary Angiography Strategies in STEMI]]
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:::[[Percutaneous coronary intervention general and specific considerations|General and Specific Considerations]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Primary PCI of the Infarct Artery|Primary PCI of the Infarct Artery]]
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:::[[Percutaneous coronary intervention coronary angiography strategies in STEMI|Coronary Angiography Strategies in STEMI]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Delayed or Elective PCI in Patients with STEMI|Delayed or Elective PCI in patients with STEMI]]
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:::[[Percutaneous coronary intervention primary PCI of the infarct artery|Primary PCI of the Infarct Artery]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Patients With STEMI: General and Specific Considerations|STEMI: General and Specific Considerations]]
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:::[[Percutaneous coronary intervention delayed or elective PCI in patients with STEMI|Delayed or Elective PCI in patients with STEMI]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#PCI in Fibrinolytic-Ineligible Patients|PCI in Fibrinolytic-Ineligible Patients]]
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:::[[Percutaneous coronary intervention fibrinolytic-ineligible patients|Fibrinolytic-Ineligible Patients]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Facilitated PCI|Facilitated PCI]]
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:::[[Percutaneous coronary intervention facilitated PCI|Facilitated PCI]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Rescue PCI (PCI After Failed Fibrinolysis)|Rescue PCI]]
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:::[[Percutaneous coronary intervention rescue PCI (PCI after failed fibrinolysis)|Rescue PCI]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#PCI After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion|PCI After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion]]
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:::[[Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion|After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#PCI in patients with Cardiogenic Shock|PCI in patients with Cardiogenic Shock]]
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:[[Percutaneous coronary intervention Cardiogenic shock|Cardiogenic Shock]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#PCI in patients with Prior Coronary Bypass Surgery|PCI in patients with Prior Coronary Bypass Surgery]]
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:[[Percutaneous coronary intervention prior coronary bypass surgery|Prior Coronary Bypass Surgery]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Revascularization Before Non-cardiac Surgery|Revascularization Before Non-cardiac Surgery]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Coronary Stents|Coronary Stents]]
:[[Percutaneous coronary intervention revascularization before non-cardiac surgery|Revascularization Before Non-cardiac Surgery]]
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:Adjunctive Diagnostic Devices:
:Adjunctive Diagnostic Devices:
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Fractional Flow Reserve|Fractional Flow Reserve]]
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::[[Percutaneous coronary intervention fractional flow reserve|Fractional Flow Reserve]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Intravascular Ultrasound|Intravascular Ultrasound]]
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::[[Percutaneous coronary intervention intravascular ultrasound|Intravascular Ultrasound]]
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|- bgcolor="PaleTurquoise"
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:Adjunctive Therapeutic Devices:
:Adjunctive Therapeutic Devices:
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Coronary Atherectomy|Coronary Atherectomy]]
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::[[Percutaneous coronary intervention coronary atherectomy|Coronary Atherectomy]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Thrombectomy|Thrombectomy]]
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::[[Percutaneous coronary intervention thrombectomy|Thrombectomy]]
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|- bgcolor="PaleTurquoise"
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::[[Percutaneous coronary intervention laser angioplasty|Laser Angioplasty]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Laser Angioplasty|Laser Angioplasty]]
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::[[Percutaneous coronary intervention cutting balloon angioplasty|Cutting Balloon Angioplasty]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Cutting Balloon Angioplasty|Cutting Balloon Angioplasty]]
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::[[Percutaneous coronary intervention embolic protection devices|Embolic Protection Devices]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Embolic Protection Devices|Embolic Protection Devices]]
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:[[Percutaneous coronary intervention percutaneous hemodynamic support devices|Percutaneous Hemodynamic Support Devices]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Percutaneous Hemodynamic Support Devices|Percutaneous Hemodynamic Support Devices]]
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:Antiplatelet therapy:
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:Antiplatelet Therapy:
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::[[Percutaneous coronary intervention oral antiplatelet therapy|Oral Antiplatelet Therapy]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Oral Antiplatelet Therapy|Oral Antiplatelet Therapy]]
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::[[Percutaneous coronary intervention Glycoprotein IIb/IIIa Receptor Antagonists|Glycoprotein IIb/IIIa Receptor Antagonists]]
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::Intravenous Antiplatelet Therapy:
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::Intravenous Antiplatelet therapy:
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!


:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Intravenous Antiplatelet Therapy: ST-Elevation Myocardial Infarction (STEMI)|STEMI]]
|- bgcolor="PaleTurquoise"
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::::[[Percutaneous coronary intervention ST-elevation myocardial infarction (STEMI)|STEMI]]
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!


:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Intravenous Antiplatelet Therapy: Unstable Angina / Non-ST Elevation Myocardial Infarction (UA/NSTEMI)|UA/NSTEMI]]
|- bgcolor="PaleTurquoise"
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::::[[Percutaneous coronary intervention unstable angina / non-ST elevation myocardial infarction (UA/NSTEMI)|UA/NSTEMI]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Intravenous Antiplatelet Therapy: Sudden Ischemia Heart Disease (SIHD)|SIHD]]
|- bgcolor="PaleTurquoise"
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::::[[Percutaneous coronary intervention sudden ischemia heart disease (SIHD)|SIHD]]
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|- bgcolor="PaleTurquoise"
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:Anticoagulant Therapy:
:Anticoagulant Therapy:
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Use of Parenteral Anticoagulants during PCI|Parenteral Anticoagulants During PCI]]
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::[[Percutaneous coronary intervention use of parenteral anticoagulants during PCI|Parenteral Anticoagulants During PCI]]
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!


:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Unfractionated Heparin|Unfractionated Heparin]]
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::[[Percutaneous coronary intervention unfractionated heparin|Unfractionated Heparin]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Enoxaparin|Enoxaparin]]
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::[[Percutaneous coronary intervention enoxaparin|Enoxaparin]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Bivalirudin and Argatoban|Bivalirudin and Argatroban]]
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::[[Percutaneous coronary intervention bivalirudin and argatoban|Bivalirudin and Argatroban]]
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:::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Fondaparinux|Fondaparinux]]
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::[[Percutaneous coronary intervention fondaparinux|Fondaparinux]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#No-Reflow Pharmacological Therapies|No-Reflow Pharmacological Therapies]]
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::[[Percutaneous coronary intervention no-reflow pharmacological therapies|No-Reflow Pharmacological Therapies]]
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!


|- bgcolor="PaleTurquoise"
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:PCI in Specific Anatomic Situations:
:PCI in Specific Anatomic Situations:
|-
!


::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Chronic Total Occlusions|Chronic Total Occlusions]]
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::[[Percutaneous coronary intervention chronic total occlusions|Chronic Total Occlusions]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Saphenous Vein Grafts|Saphenous Vein Grafts]]
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::[[Percutaneous coronary intervention saphenous vein grafts|Saphenous Vein Grafts]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Bifurcation Lesions|Bifurcation Lesions]]
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::[[Percutaneous coronary intervention bifurcation lesions|Bifurcation Lesions]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Aorto-Ostial Stenoses|Aorto-Ostial Stenoses]]
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::[[Percutaneous coronary intervention aorto-ostial stenoses|Aorto-Ostial Stenoses]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Calcified Lesions|Calcified Lesions]]
|- bgcolor="PaleTurquoise"
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::[[Percutaneous coronary intervention calcified lesions|Calcified Lesions]]
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|- bgcolor="PaleTurquoise"
!
:PCI in Specific Patient Populations:
:PCI in Specific Patient Populations:
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!


::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Chronic Kidney Disease|Chronic Kidney Disease]]
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::[[Percutaneous coronary intervention chronic kidney disease|Chronic Kidney Disease]]
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!


:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Peri-procedural Myocardial Infarction Assessment|Peri-procedural Myocardial Infarction Assessment]]
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:[[Percutaneous coronary intervention peri-procedural myocardial infarction assessment|Peri-procedural Myocardial Infarction Assessment]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Vascular Closure Devices|Vascular Closure Devices]]
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:[[Percutaneous coronary intervention vascular closure devices|Vascular Closure Devices]]
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|- bgcolor="PaleTurquoise"
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Post-Procedural Considerations:
Post-Procedural Considerations:
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Post-procedural Antiplatelet Therapy|Post-procedural Antiplatelet Therapy:]]
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:[[Percutaneous coronary intervention post-procedural antiplatelet therapy|Post-procedural Antiplatelet Therapy]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Proton Pump Inhibitors and Anti-platelet Therapy|Proton Pump Inhibitors and Antiplatelet Therapy]]
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:[[Percutaneous coronary intervention proton pump inhibitors and anti-platelet therapy|Proton Pump Inhibitors and Antiplatelet Therapy]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Clopidogrel Genetic Testing|Clopidogrel Genetic Testing]]
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:[[Percutaneous coronary intervention clopidogrel genetic testing|Clopidogrel Genetic Testing]]
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!


::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Platelet Function Testing|Platelet Function Testing]]
|- bgcolor="PaleTurquoise"
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:[[Percutaneous coronary intervention platelet function testing|Platelet Function Testing]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Restenosis|Restenosis:]]
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:[[Percutaneous coronary intervention restenosis|Restenosis]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Exercise Testing|Exercise Testing]]
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:[[Percutaneous coronary intervention exercise testing|Exercise Testing]]
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::[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Cardiac Rehabilitation|Cardiac Rehabilitation]]
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:[[Percutaneous coronary intervention cardiac rehabilitation|Cardiac Rehabilitation]]
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|- bgcolor="PaleTurquoise"
|- bgcolor="CadetBlue"
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Quality and Performance Considerations:
Quality and Performance Considerations:
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Quality and Performance|Quality and Performance]]
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:[[Percutaneous coronary intervention quality and performance|Quality and Performance]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Certification and Maintenance of Certification|Certification and Maintenance of Certification]]
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:[[Percutaneous coronary intervention certification and maintenance of certification|Certification and Maintenance of Certification]]
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:[[Percutaneous Coronary Intervention (PCI): Basic Principles and Guidelines#Operator and Institutional Competency and Volume|Operator and Institutional Competency and Volume]]
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:[[Percutaneous coronary intervention operator and institutional competency and volume|Operator and Institutional Competency and Volume]]
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|- bgcolor="PaleGoldenrod "
|- bgcolor="PaleGoldenrod "

Latest revision as of 13:16, 21 June 2022

Percutaneous Coronary Intervention Guidelines Microchapters

Home

Patient Information

Overview

PCI Approaches:

CAD Revascularization:

Heart Team Approach to Revascularization Decisions
Left Main Coronary Artery Disease
Intervention in left main coronary artery disease
Non-Left Main Coronary Artery Disease
Revascularization to Improve Symptoms
Dual Antiplatelet Therapy Compliance and Stent Thrombosis
Hybrid Coronary Revascularization

Pre-procedural Considerations:

Contrast-Induced Acute Kidney Injury
Anaphylactoid Reactions
Statin Treatment
Bleeding Risk
Role of Onsite Surgical Backup

Procedural Considerations:

Vascular Access
PCI in Specific Clinical Situations:
Asymptomatic Ischemia or CCS Class I or II Angina
CCS Class III Angina
Unstable Angina/Non–ST-Elevation Myocardial Infarction
ST-Elevation Myocardial Infarction:
General and Specific Considerations
Coronary Angiography Strategies in STEMI
Primary PCI of the Infarct Artery
Delayed or Elective PCI in patients with STEMI
Fibrinolytic-Ineligible Patients
Facilitated PCI
Rescue PCI
After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion
Cardiogenic Shock
Prior Coronary Bypass Surgery
Revascularization Before Non-cardiac Surgery
Adjunctive Diagnostic Devices:
Fractional Flow Reserve
Intravascular Ultrasound
Adjunctive Therapeutic Devices:
Coronary Atherectomy
Thrombectomy
Laser Angioplasty
Cutting Balloon Angioplasty
Embolic Protection Devices
Percutaneous Hemodynamic Support Devices
Antiplatelet therapy:
Oral Antiplatelet Therapy
Glycoprotein IIb/IIIa Receptor Antagonists
Intravenous Antiplatelet therapy:
STEMI
UA/NSTEMI
SIHD
Anticoagulant Therapy:
Parenteral Anticoagulants During PCI
Unfractionated Heparin
Enoxaparin
Bivalirudin and Argatroban
Fondaparinux
No-Reflow Pharmacological Therapies
PCI in Specific Anatomic Situations:
Chronic Total Occlusions
Saphenous Vein Grafts
Bifurcation Lesions
Aorto-Ostial Stenoses
Calcified Lesions
PCI in Specific Patient Populations:
Chronic Kidney Disease
Peri-procedural Myocardial Infarction Assessment
Vascular Closure Devices

Post-Procedural Considerations:

Post-procedural Antiplatelet Therapy
Proton Pump Inhibitors and Antiplatelet Therapy
Clopidogrel Genetic Testing
Platelet Function Testing
Restenosis
Exercise Testing
Cardiac Rehabilitation

Quality and Performance Considerations:

Quality and Performance
Certification and Maintenance of Certification
Operator and Institutional Competency and Volume

Percutaneous Coronary Intervention On the Web

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All Images
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Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Percutaneous Coronary Intervention

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Percutaneous Coronary Intervention in the news

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