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Operator and Site Requirements for Primary Angioplasty

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Primary Angioplasty in Acute Myocardial Infarction

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Direct recanalization of the infarct-related coronary artery by mechanical rather than chemical means simultaneously addresses both the occlusive thrombosis and the underlying stenosis, and is associated with a superior early patency rate of 90% (1–3). Despite these inherent benefits, direct percutaneous transluminal coronary angioplasty (PTCA) remains a practical therapeutic option in the minority of facilities that have continuous access to a catheterization laboratory. Only 20% of hospitals in the United States have cardiac catheterization laboratories and even fewer have the capability of performing emergency PTCA (4). Although transfer of the patient to a facility that can perform PTCA is possible, the consequent delay in achieving reperfusion may outweigh any added benefits.

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Authors
  1. J. Conor O’Shea MD
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Editors and Affiliations

  1. Duke Clinical Research Institute and Division of Cardiology, Duke University Health System, Durham, NC, USA

    James E. Tcheng MD

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© 2002 Springer Science+Business Media New York

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O’Shea, J.C. (2002). Operator and Site Requirements for Primary Angioplasty. In: Tcheng, J.E. (eds) Primary Angioplasty in Acute Myocardial Infarction. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-155-8_2

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  • DOI: https://doi.org/10.1007/978-1-59259-155-8_2

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-6248-8

  • Online ISBN: 978-1-59259-155-8

  • eBook Packages: Springer Book Archive

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