What is the efficacy of percutaneous coronary intervention (PCI) for thrombolytic therapy of STEMI?

Updated: Dec 31, 2017
  • Author: Wanda L Rivera-Bou, MD, FAAEM, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Answer

Answer

PCI performed within 90 minutes of a patient's arrival is superior to fibrinolysis with respect to combined endpoints of death, stroke, and reinfarction. Unfortunately, PCI is not widely available at acute care hospitals: A 2012 study by Concannon et al found that of the nearly 5000 acute care hospitals in the United States, only 1695 (<36%) were capable of performing PCI. [20] Fewer than 10% of patients who are transferred for primary PCI achieve a first door-to-balloon time of less than 90 minutes. [21]


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