A poorly deployed drug eluting stent is far inferior to a properly deployed bare metal stents
- Doing a plain old balloon angioplasty ( POBA) is not a scientific crime , millions of coronary lesion just need that! ( Click here -Why POBA is important ? )
- PCI is most effective during an ACS than a chronic coronary syndrome
- Primary PCI is a race against time and muscle , not a race against money ! Don’t do it for a evolved MI
- Recognise , from the patient point of view the term no reflow is generally synonymous with failed primary PCI( It is semantics !)
- Side branch can be more important than main branches , so don’t sacrifice it often
- Attempting a trifurcation angioplasty is generally not in the interest of the patient but to show interventional expertise
- Make sure surgical back up means, a table is reserved with a surgeon fully informed and ready
When in doubt , it is always better to err on a longer stent than a shorter one
Dr.S.Venkatesan MD 
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