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Percutaneous coronary intervention 

Percutaneous coronary intervention
Chapter:
Percutaneous coronary intervention
Author(s):

Pasi P. Karjalainen

, Kurt Huber

, Gérard Helft

, Andrea Rubboli

, and Eric Eeckhout

DOI:
10.1093/med/9780199665952.003.0002
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date: 28 March 2020

Percutaneous coronary intervention with stent implantation is the most widely used mode of myocardial revascularization. To limit and balance the risk of major adverse cardiac events, stent thrombosis, and bleeding, several peri- and post-procedural issues need to be properly addressed. Optimal pharmacological management and technique are warranted to avoid peri-procedural bleeding. Optimal duration and management of dual antiplatelet therapy are warranted to avoid post-procedural stent thrombosis. Proper stent selection is essential for gaining the greatest patient benefit following major adverse cardiac events(MACE) and stent thrombosis, while limiting the incidence of bleeding complications.

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