Does reducing ischemia time justify to catheterize firstly the culprit artery in every primary PCI?

Autor: Maite Velázquez-Martín, Alfonso Jurado-Román, Pilar Agudo-Quilez, Felipe Hernández-Hernández, Belén Rubio-Alonso, Juan Tascón-Pérez, Agustín Albarrán-González-Trevilla, Julio García-Tejada, Carolina Granda-Nistal
Rok vydání: 2014
Předmět:
Male
medicine.medical_specialty
Cardiac Catheterization
Time Factors
medicine.medical_treatment
030204 cardiovascular system & hematology
Revascularization
Coronary Angiography
Prosthesis Design
Culprit
Cardiac Catheters
Time-to-Treatment
Tertiary Care Centers
03 medical and health sciences
0302 clinical medicine
Left coronary artery
Percutaneous Coronary Intervention
Predictive Value of Tests
medicine.artery
Medicine
Humans
030212 general & internal medicine
Myocardial infarction
Aged
Retrospective Studies
medicine.diagnostic_test
business.industry
Patient Selection
Drug-Eluting Stents
Middle Aged
medicine.disease
Coronary Vessels
Surgery
Cardiac surgery
Treatment Outcome
Metals
Spain
Right coronary artery
Angiography
Conventional PCI
ST Elevation Myocardial Infarction
Female
Stents
Cardiology and Cardiovascular Medicine
business
Hospitals
High-Volume
Zdroj: Heart and vessels. 31(7)
ISSN: 1615-2573
Popis: No consensus exists about which coronary artery should be firstly catheterized in primary PCIs. Initial catheterization of the “culprit artery” could reduce reperfusion time. However, complete knowledge of coronary anatomy could modify revascularization strategy. The objective of the study was to analyze this issue in ST-elevation myocardial infarction patients undergoing primary PCI. PCIs were performed in 384 consecutive patients. Choice of ipsilateral approach (IA): starting with a guiding catheter for the angiography and PCI of the “culprit artery”, or contralateral approach (CA): starting with a diagnostic catheter for the “non-culprit artery” and completing the angiography and PCI of the culprit with a guiding catheter was left to the operator. Differences between two approaches regarding reperfusion time, acute events or revascularization strategies were analyzed. There were no differences between two approaches regarding reperfusion time or clinical events. When the left coronary artery was responsible, IA was more frequent (76.4 vs 22.6 %), but when it was the right coronary artery, CA was preferred (20 vs 80 %); p
Databáze: OpenAIRE
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