What are the contraindications for percutaneous coronary intervention (PCI)?

Updated: Nov 27, 2019
  • Author: George A Stouffer, III, MD; Chief Editor: Karlheinz Peter, MD, PhD  more...
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Answer

Clinical contraindications for PCI include intolerance of long-term antiplatelet therapy or the presence of any significant comorbid conditions that severely limit the lifespan of the patient (this is a relative contraindication). A Heart Team approach (involving interventional cardiologists and cardiac surgeons) should be used in patients with diabetes and multivessel coronary artery disease and in patients with severe left main disease and a high Syntax score.

Relative angiographic contraindications include the following:

  • Arteries < 1.5 mm in diameter
  • Diffusely diseased saphenous vein grafts
  • Other coronary anatomy not amenable to PCI

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