top
English (United Kingdom)Español (spanish formal Internacional)

Facebook

Advertisement


Advertisement


18th Edition (August 5, 2011)


Home Criteria Cardiology Clinical Indications and Contraindications to Percutaneous Coronary Intervention (PCI)


Advertisement


The content of this website is provided for general informational purposes only and is not a substitute professional medical advice

Clinical Indications and Contraindications to Percutaneous Coronary Intervention (PCI) Print E-mail
User Rating: / 9
PoorBest 
Written by G. Firman MD   
Friday, 18 February 2011 05:03

 

Percutaneous coronary interventions (PCI) include percutaneous transluminal coronary angioplasty (PTCA) with or without stenting. Primary indications are treatment of angina pectoris (stable or unstable), myocardial ischemia, and acute MI (particularly in patients with developing or established cardiogenic shock).

 

Clinical Indications and Contraindications to PCI


Indications

  • Acute ST elevation myocardial infarction (STEMI)
  • Non ST elevation acute coronary syndrome
  • Stable angina
  • Anginal equivalent (eg, dyspnea, arrhythmia, dizziness/syncope)
  • Asymptomatic or mildly symptomatic patients with objective evidence of a moderate to large area of viable myocardium or moderate to severe ischemia on noninvasive testing

Contraindications

  • Significant comorbidities (relative contraindication)

 

Angiographic Indications and Contraindications to PCI

Indications

  • Hemodynamically significant lesion in a vessel serving viable myocardium (vessel diameter >1.5 mm)

Relative contraindications

  • Left main stenosis in a patient who is a surgical candidate
  • Diffusely diseased small-caliber artery or vein graft
  • Other coronary anatomy not amenable to percutaneous intervention

 

 

References:

  1. Kushner FG, Hand M, Smith SC Jr, King SB 3rd, Anderson JL, Antman EM, Bailey SR, Bates ER, Blankenship JC, Casey DE Jr, Green LA, Hochman JS, Jacobs AK, Krumholz HM, Morrison DA, Ornato JP, Pearle DL, Peterson ED, Sloan MA, Whitlow PL, Williams DO; American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. 2009 Focused Updates: ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (updating the 2004 Guideline and 2007 Focused Update) and ACC/AHA/SCAI Guidelines on Percutaneous Coronary Intervention (updating the 2005 Guideline and 2007 Focused Update): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2009 Dec 1;120(22):2271-306. [Medline]
  2. Anderson HV, Shaw RE, Brindis RG, Klein LW, McKay CR, Kutcher MA, Krone RJ, Wolk MJ, Smith SC Jr, Weintraub WS. Relationship between procedure indications and outcomes of percutaneous coronary interventions by American College of Cardiology/American Heart Association Task Force Guidelines. Circulation. 2005 Nov 1;112(18):2786-91. [Medline]

 

 

Created: Feb 18, 2011.

 

 

 


Related news items:
Newer news items:
Older news items:

Last Updated on Friday, 29 August 2014 11:35
 

Free Registry

Advertisement


Advertisement


Advertisement


Advertisement


Advertisement

HONcode

HONcode accreditation seal. We comply with the HONcode standard for health trust worthy information:
verify here

Site Last Modified

Wednesday 10 September 2014, 07:02


bottom

Copyright © MedicalCRITERIA.com 2005-2014. All Rights Reserved