Predictors of Periprocedural Creatine Kinase-Myocardial Band Elevation Complicating Elective Percutaneous Coronary Intervention

Percutaneous and surgical revascularization procedures in women

“…The magnitude of excess risk of vascular complications in women increased with increasing sheath size [ 34 ]. Women are not any more likely than men to suffer a periprocedural MI [ 35 ], but women are more likely to return to an emergency department within 30 days after PCI for cardiac evaluation [ 36 ]. This higher rate of reevaluation in an emergency department was not associated with an excess of reinfarction or revascularization in a cohort with a small number of events (M.E.…”

Optimal Antiplatelet Therapy During Percutaneous Coronary Interventions Includes Glycoprotein IIb/IIIa Inhibitors

“…Other studies have shown that the evaluation of clinical and procedural angiographic parameters can be used to predict the likelihood of a periprocedural MI after PCI (15,16). In the absence of pre-procedural high-risk characteristics and intraprocedural complications, a prolonged infusion of a GP IIb/IIIa inhibitor or bivalirudin is likely of limited value in reducing the risk of ischemic events, and yet likely to increase the risk of bleeding.…”

Two-wire protection of side branches to prevent side branch occlusion during stent implantation for bifurcational lesions

“…The stenting of bifurcational lesions is still a challenging issue for percutaneous coronary intervention (PCI) because bifurcational lesions carry a high risk of cardiac enzyme elevation due to side branch occlusion or restenosis, despite the development of drug-eluting stents [1][2][3]. In cases of true bifurcational lesions, in which there is [50% narrowing of the diameters of both the main branch and the orifice of the side branch, implanting a stent in the main branch while it crosses over the orifice of the side branch often causes occlusion of the side branch [4].…”