Facilitated PCI in der Behandlung des ST-Strecken-Hebungs-Infarkts

Abstract

Despite being the preferred reperfusion strategy primary percutaneous coronary intervention often is accompanied by substantial delays till reperfusion of the infarct related artery due to long transfer times to a PCI center and sometimes long door-to-balloon times. The rationale for facilitated PCI is based on the hypothesis that combining early pharmacologically mediated reperfusion with subsequent immediate PCI will overcome these delays to salvage myocardium and to improve outcome. The current review focuses on definitions for facilitated PCI, outcome for studies comparing facilitated PCI with primary PCI and fibrinolysis with usual care. As nearly all studies showed harm by the use of facilitated PCI in comparison to primary PCI, this facilitated strategy cannot be recommended.

Literatur

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