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Posts Tagged ‘drug eleuting stents’

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

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