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Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion
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Where does the Occluded Artery Trial leave the late open artery hypothesis?
Heart (British Cardiac Society)
|October 16, 2007
Abstract:
As of April 2007 the early open artery hypothesis is alive and well, but the late open artery hypothesis is adrift. For the foreseeable future, stable patients with persistent occlusion of the infarct artery late after myocardial infarction, and without severe ischaemia or uncontrollable angina, should be managed initially with optimal medical treatment alone, and not with percutaneous coronary intervention. Efforts should focus on establishing reperfusion earlier, including reducing the time to patient presentation.
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