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No-Reflow Phenomenon During Percutaneous Coronary Intervention: Prevention and Treatment

…the true lumen and cause ischemia. Guiding catheter trauma is an additional mechanism of dissection and impaired distal flow. These alternative causes must be distinguished…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

Myocardial ischemia and infarction Definition and Pathophysiology Intravascular imaging comprises catheter based techniques that directly visualize the coronary lumen, vessel wall, plaque, thrombus, and implanted…

Invasive Coronary Angiography: Indications and Vascular Access

…injection under fluoroscopy. The procedure is performed by advancing guidewires and diagnostic catheters from a percutaneous arterial access site to the aortic root, engaging the…

Complications of Coronary Angiography and Vascular Access Management

…contrast media are injected selectively into the epicardial coronary arteries through a catheter advanced from a peripheral artery to the aortic root and coronary ostia…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…such as amyloidosis or sarcoidosis Other cardiac procedures Chemotherapeutic agents Catheter ablation Critical illness Defibrillator shocks Strenuous exercise Cardiac contusion The diagnosis should therefore distinguish…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…than 70%, and are an important reason that patients are referred for coronary artery bypass grafting rather than percutaneous coronary intervention (PCI). A CTO may…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…disease and other manifestations of diffuse atherosclerosis. Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are revascularization procedures. Both can improve coronary flow…

Dual Antiplatelet Therapy Duration After Acute Coronary Syndromes and Elective Percutaneous Coronary Intervention

…receptor inhibitor. It is central to the prevention of platelet mediated coronary thrombosis after acute coronary syndrome (ACS) and percutaneous coronary intervention (PCI). Aspirin irreversibly…

Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

Myocardial ischemia and infarction Introduction Drug eluting stents (DES) are the predominant device used during percutaneous coronary intervention (PCI). They evolved from balloon angioplasty and…

Periprocedural Myocardial Infarction After PCI and CABG

…necrosis temporally related to coronary revascularization. It may follow percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), and is classified within the universal…

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