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Technical aspects in the performance of primary PTCA
1Methodist Heart Center, Methodist Hospital, Cardiology Associates of Lubbock, P.A. Texas 79410, USA.
Abstract:
More than 2,000 angioplasties have been performed in our institutions either during or surrounding acute myocardial infarction. We will review the practical aspects of the performance of primary percutaneous transluminal coronary angioplasty with outlines for implementation of the angiogram, conducting angioplasty, giving adjunctive therapies, care of the patient after the intervention and the potential need for subsequent coronary bypass surgery. The rationale for risk stratification with angiography, order and technical aspects of the performance of percutaneous transluminal coronary angioplasty, need for adjunctive medical therapy and details of after care will be fundamentally outlined.