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Ann Cardiol Angeiol (Paris). 2012 Nov;61(5):352-6. doi: 10.1016/j.ancard.2012.09.001. Epub 2012 Sep 23.

[Primary coronary angioplasty for myocardial infarction--the view of the cardiologic surgeon].

[Article in French]

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  • 1Service de cardiologie, hôpital Jacques-Cœur à Bourges, 145, avenue François-Mitterrand, 18020 Bourges cedex, France.


The aim of this article is not to present a general academic review on primary angioplasty in patients with ST-elevation myocardial infarction, but rather to focus on some practical points that directly concern cardiologists who perform primary percutaneous interventions in these patients. We detail recent data about the use of the radial artery approach, thromboaspiration, new oral inhibitors of P2Y12, selective use of anti-GPIIb/IIIa, high dose of peri-procedural statin therapy, choice of the best stent, and the best approach for treating non-culprit lesions in patients with multivessel coronary artery disease. The changes observed in the overall management of patients undergoing primary PCI for ST-elevation myocardial infarction are likely to have participated in the decrease in mortality observed in several registries. New European guidelines on the management of STEMI, taking into account these diverse aspects, have just been published.

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