Percutaneous coronary intervention: basic principles and guidelines: Difference between revisions
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{{Template:Percutaneous Coronary Intervention}} | |||
'''For patient information click [[Angioplasty (patient information)|here]]''' | |||
{{CMG}}; {{AOEIC}} {{LG}} | |||
{{SK}} PCI; balloon angioplasty; percutaneous transluminal angioplasty | |||
==[[Percutaneous coronary intervention overview|Overview]]== | |||
==Guideline Recommendations== | |||
===CAD Revascularization=== | |||
[[Percutaneous coronary intervention heart team approach to revascularization decisions|Heart Team Approach to Revascularization Decisions]] | [[Percutaneous coronary intervention left main coronary artery disease|Left Main Coronary Artery Disease]] | [[Percutaneous coronary intervention non-left main coronary artery disease|Non-Left Main Coronary Artery Disease]] | |||
| [[Percutaneous coronary intervention revascularization to improve symptoms|Revascularization to Improve Symptoms]] | |||
| [[Percutaneous coronary intervention dual antiplatelet therapy compliance and stent thrombosis|Dual Antiplatelet Therapy Compliance and Stent Thrombosis]] | [[Percutaneous coronary intervention hybrid coronary revascularization|Hybrid Coronary Revascularization]] | |||
===Pre-procedural Considerations=== | |||
[[Percutaneous coronary intervention contrast-induced acute kidney injury|Contrast-Induced Acute Kidney Injury]] | [[Percutaneous coronary intervention anaphylactoid reactions|Anaphylactoid Reactions]] | [[Percutaneous coronary intervention statin treatment|Statin Treatment]] | [[Percutaneous coronary intervention bleeding risk|Bleeding Risk]] | [[Percutaneous coronary intervention role of onsite surgical backup|Role of Onsite Surgical Backup]] | |||
===Procedural Considerations=== | |||
*[[Percutaneous coronary intervention vascular access|Vascular Access]] | |||
*'''PCI in Specific Clinical Situations''': | |||
**[[Percutaneous coronary intervention asymptomatic ischemia or CCS class I or II angina|Asymptomatic Ischemia or CCS Class I or II Angina]] | |||
**[[Percutaneous coronary intervention CCS class III angina|CCS Class III Angina]] | |||
**[[Percutaneous coronary intervention unstable Angina/non-ST-elevation myocardial infarction|Unstable Angina/Non–ST-Elevation Myocardial Infarction]] | |||
**ST-Elevation Myocardial Infarction: [[Percutaneous coronary intervention general and specific considerations|General and Specific Considerations]] | [[Percutaneous coronary intervention coronary angiography strategies in STEMI|Coronary Angiography Strategies in STEMI]] | [[Percutaneous coronary intervention primary PCI of the infarct artery|Primary PCI of the Infarct Artery]] | [[Percutaneous coronary intervention delayed or elective PCI in patients with STEMI|Delayed or Elective PCI in patients with STEMI]] | [[Percutaneous coronary intervention fibrinolytic-ineligible patients|Fibrinolytic-Ineligible Patients]] | [[Percutaneous coronary intervention facilitated PCI|Facilitated PCI]] | [[Percutaneous coronary intervention rescue PCI (PCI after failed fibrinolysis)|Rescue PCI]] | [[Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion|After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion]] | |||
*[[Percutaneous coronary intervention Cardiogenic shock|Cardiogenic Shock]] | |||
*[[Percutaneous coronary intervention prior coronary bypass surgery|Prior Coronary Bypass Surgery]] | |||
*[[Percutaneous coronary intervention revascularization before non-cardiac surgery|Revascularization Before Non-cardiac Surgery]] | |||
*'''Adjunctive Diagnostic Devices''': [[Percutaneous coronary intervention fractional flow reserve|Fractional Flow Reserve]] | [[Percutaneous coronary intervention intravascular ultrasound|Intravascular Ultrasound]] | |||
*'''Adjunctive Therapeutic Devices''': [[Percutaneous coronary intervention coronary atherectomy|Coronary Atherectomy]] | [[Percutaneous coronary intervention thrombectomy|Thrombectomy]] | [[Percutaneous coronary intervention laser angioplasty|Laser Angioplasty]] | [[Percutaneous coronary intervention cutting balloon angioplasty|Cutting Balloon Angioplasty]] | [[Percutaneous coronary intervention embolic protection devices|Embolic Protection Devices]] | |||
*[[Percutaneous coronary intervention percutaneous hemodynamic support devices|Percutaneous Hemodynamic Support Devices]] | |||
*Antiplatelet therapy: | |||
**[[Percutaneous coronary intervention oral antiplatelet therapy|Oral Antiplatelet Therapy]] | |||
** Glycoprotein IIb/IIIa Receptor Antagonists | |||
**Intravenous Antiplatelet therapy: [[Percutaneous coronary intervention ST-elevation myocardial infarction (STEMI)|STEMI]] | [[Percutaneous coronary intervention unstable angina / non-ST elevation myocardial infarction (UA/NSTEMI)|UA/NSTEMI]] | [[Percutaneous coronary intervention sudden ischemia heart disease (SIHD)|SIHD]] | |||
*'''Anticoagulant Therapy''': [[Percutaneous coronary intervention use of parenteral anticoagulants during PCI|Parenteral Anticoagulants During PCI]] | [[Percutaneous coronary intervention unfractionated heparin|Unfractionated Heparin]] | [[Percutaneous coronary intervention enoxaparin|Enoxaparin]] | [[Percutaneous coronary intervention bivalirudin and argatoban|Bivalirudin and Argatroban]] | [[Percutaneous coronary intervention fondaparinux|Fondaparinux]] | [[Percutaneous coronary intervention no-reflow pharmacological therapies|No-Reflow Pharmacological Therapies]] | |||
*'''PCI in Specific Anatomic Situations''': [[Percutaneous coronary intervention chronic total occlusions|Chronic Total Occlusions]] | [[Percutaneous coronary intervention saphenous vein grafts|Saphenous Vein Grafts]] | [[Percutaneous coronary intervention bifurcation lesions|Bifurcation Lesions]] | [[Percutaneous coronary intervention aorto-ostial stenoses|Aorto-Ostial Stenoses]] | [[Percutaneous coronary intervention calcified lesions|Calcified Lesions]] | |||
*'''PCI in Specific Patient Populations''': [[Percutaneous coronary intervention chronic kidney disease|Chronic Kidney Disease]] | |||
*[[Percutaneous coronary intervention peri-procedural myocardial infarction assessment|Peri-procedural Myocardial Infarction Assessment]] | |||
*[[Percutaneous coronary intervention vascular closure devices|Vascular Closure Devices]] | |||
===Post-Procedural Considerations=== | |||
*[[Percutaneous coronary intervention post-procedural antiplatelet therapy|Post-procedural Antiplatelet Therapy]] | |||
*[[Percutaneous coronary intervention proton pump inhibitors and anti-platelet therapy|Proton Pump Inhibitors and Antiplatelet Therapy]] | |||
*[[Percutaneous coronary intervention clopidogrel genetic testing|Clopidogrel Genetic Testing]] | |||
*[[Percutaneous coronary intervention platelet function testing|Platelet Function Testing]] | |||
*[[Percutaneous coronary intervention restenosis|Restenosis]] | |||
*[[Percutaneous coronary intervention exercise testing|Exercise Testing]] | |||
*[[Percutaneous coronary intervention cardiac rehabilitation|Cardiac Rehabilitation]] | |||
===Quality and Performance Considerations=== | |||
[[Percutaneous coronary intervention quality and performance|Quality and Performance]] | [[Percutaneous coronary intervention certification and maintenance of certification|Certification and Maintenance of Certification]] | [[Percutaneous coronary intervention operator and institutional competency and volume|Operator and Institutional Competency and Volume]] | |||
{{Circulatory system pathology}} | |||
[[Category:Disease]] | |||
[[Category:Cardiology]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Up-To-Date cardiology]] | |||
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{{WikiDoc Sources}} | |||
Latest revision as of 17:55, 30 October 2012
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Percutaneous coronary intervention: basic principles and guidelines On the Web |
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For patient information click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Lakshmi Gopalakrishnan, M.B.B.S. [2]
Synonyms and keywords: PCI; balloon angioplasty; percutaneous transluminal angioplasty
Overview
Guideline Recommendations
CAD Revascularization
Heart Team Approach to Revascularization Decisions | Left Main Coronary Artery Disease | Non-Left Main Coronary Artery Disease | Revascularization to Improve Symptoms | Dual Antiplatelet Therapy Compliance and Stent Thrombosis | Hybrid Coronary Revascularization
Pre-procedural Considerations
Contrast-Induced Acute Kidney Injury | Anaphylactoid Reactions | Statin Treatment | Bleeding Risk | Role of Onsite Surgical Backup
Procedural Considerations
- Vascular Access
- PCI in Specific Clinical Situations:
- Asymptomatic Ischemia or CCS Class I or II Angina
- CCS Class III Angina
- Unstable Angina/Non–ST-Elevation Myocardial Infarction
- ST-Elevation Myocardial Infarction: General and Specific Considerations | Coronary Angiography Strategies in STEMI | Primary PCI of the Infarct Artery | Delayed or Elective PCI in patients with STEMI | Fibrinolytic-Ineligible Patients | Facilitated PCI | Rescue PCI | After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion
- Cardiogenic Shock
- Prior Coronary Bypass Surgery
- Revascularization Before Non-cardiac Surgery
- Adjunctive Diagnostic Devices: Fractional Flow Reserve | Intravascular Ultrasound
- Adjunctive Therapeutic Devices: Coronary Atherectomy | Thrombectomy | Laser Angioplasty | Cutting Balloon Angioplasty | Embolic Protection Devices
- Percutaneous Hemodynamic Support Devices
- Antiplatelet therapy:
- Oral Antiplatelet Therapy
- Glycoprotein IIb/IIIa Receptor Antagonists
- Intravenous Antiplatelet therapy: STEMI | UA/NSTEMI | SIHD
- Anticoagulant Therapy: Parenteral Anticoagulants During PCI | Unfractionated Heparin | Enoxaparin | Bivalirudin and Argatroban | Fondaparinux | No-Reflow Pharmacological Therapies
- PCI in Specific Anatomic Situations: Chronic Total Occlusions | Saphenous Vein Grafts | Bifurcation Lesions | Aorto-Ostial Stenoses | Calcified Lesions
- PCI in Specific Patient Populations: Chronic Kidney Disease
- Peri-procedural Myocardial Infarction Assessment
- Vascular Closure Devices
Post-Procedural Considerations
- Post-procedural Antiplatelet Therapy
- Proton Pump Inhibitors and Antiplatelet Therapy
- Clopidogrel Genetic Testing
- Platelet Function Testing
- Restenosis
- Exercise Testing
- Cardiac Rehabilitation
Quality and Performance Considerations
Quality and Performance | Certification and Maintenance of Certification | Operator and Institutional Competency and Volume