Journal article

Rescue PCI in the management of STEMI: Contemporary results from the Melbourne Interventional Group registry.

Himawan Fernando, Diem Dinh, Stephen J Duffy, Angela Brennan, Anand Sharma, David Clark, Andrew Ajani, Melanie Freeman, Karlheinz Peter, Dion Stub, Chin Hiew, Christopher M Reid, Ernesto Oqueli

Int J Cardiol Heart Vasc | Published : 2021

Abstract

Background: Fibrinolysis is an important reperfusion strategy in the management of ST-elevation myocardial infarction (STEMI) when timely access to primary percutaneous coronary intervention (PPCI) is unavailable. Rescue PCI is generally thought to have worse outcomes than PPCI in STEMI. We aimed to determine short- and long-term outcomes of patients with rescue PCI versus PPCI for treatment of STEMI. Methods and results: Patients admitted with STEMI (excluding out-of-hospital cardiac arrest) within the Melbourne Interventional Group (MIG) registry between 2005 and 2018 treated with either rescue PCI or PPCI were included in this retrospective cohort analysis. Comparison of 30-day major adve..

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