Staged PCI: Difference between revisions

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==Guidelines Regarding Staged PCI==
==Guidelines Regarding Staged PCI==
Performance of PCI in a non-culprit artery at the time of a STEMI is a class III contraindication.  Only 2% of interventional cardiologist would perform a PCI in a non-culprit vessel in the setting of STEMI in a patient who is hemodynamically stable <ref>http://interventions.onlinejacc.org/article.aspx?articleid=1112023</ref>. 62% of interventional cardiologists recommend that the PCI of the non-culprit artery be performed more than 2 weeks after the STEMI <ref>http://interventions.onlinejacc.org/article.aspx?articleid=1112023</ref>.
Performance of PCI in a non-culprit artery at the time of a STEMI is a class III contraindication.  Only 2% of interventional cardiologist would perform a PCI in a non-culprit vessel in the setting of STEMI in a patient who is hemodynamically stable <ref>http://interventions.onlinejacc.org/article.aspx?articleid=1112023</ref>.  
 
==Timing of a Staged PCI==
===STEMI===
62% of interventional cardiologists recommend that the PCI of the non-culprit artery be performed more than 15 days after the STEMI <ref>http://interventions.onlinejacc.org/article.aspx?articleid=1112023</ref>.
 
===UA / NSTEMI===
 
===Stable Angina===


==Reasons Cited by Interventional Cardiologists to Perform a Staged PCI==
==Reasons Cited by Interventional Cardiologists to Perform a Staged PCI==

Revision as of 20:23, 13 December 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Staged PCI is referred to the performance of a percutaneous coronary intervention (PCI) at a later date separate from the performance of the diagnostic catheterization or the performance of an initial PCI.

Guidelines Regarding Staged PCI

Performance of PCI in a non-culprit artery at the time of a STEMI is a class III contraindication. Only 2% of interventional cardiologist would perform a PCI in a non-culprit vessel in the setting of STEMI in a patient who is hemodynamically stable [1].

Timing of a Staged PCI

STEMI

62% of interventional cardiologists recommend that the PCI of the non-culprit artery be performed more than 15 days after the STEMI [2].

UA / NSTEMI

Stable Angina

Reasons Cited by Interventional Cardiologists to Perform a Staged PCI

References