Post PCI follow up

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PCI in Specific Patients

Cardiogenic Shock
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PCI in Specific Lesion Types

Classification of the Lesion
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The Left Internal Mammary Artery
Multivessel Disease
Distal Anastomotic Lesions
Left Main Intervention
The Thrombotic Lesion

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief:; Aysha Aslam, M.B.B.S[2]

Overview

Post PCI follow up

According to AHA guidelines, routine periodic stress testing of asymptomatic patients after PCI without specific clinical indications should not be performed.[1] However, there has been a conflicting evidence on benefits of coronary angiography versus clinical follow up to detect major complications such as restenosis and its impact on survival outcome.[2][3] In the recent ReACT trial 2016, it is demonstrated that there is no difference in clinical benefit when coronary angiography is compared to regular clinical follow up after PCI. Study results demonstrated that there was increased incidence of coronary revascularization with the corornary angiography after one year following PCI but there was no difference in the primary endpoint which included composite of death, MI, stroke, or emergency hospitalizations for acute coronary syndrome or heart failure when compared to regular clinical follow up after 5 years.

References

  1. Eisenberg MJ, Blankenship JC, Huynh T, Azrin M, Pathan A, Sedlis S, Panja M, Starling MR, Beyar R, Azoulay A, Caron J, Pilote L (2004). "Evaluation of routine functional testing after percutaneous coronary intervention". The American Journal of Cardiology. 93 (6): 744–7. PMID 15019882. doi:10.1016/j.amjcard.2003.11.071. Retrieved 2011-12-16. 
  2. van Domburg RT, Foley DP, de Jaegere PP, de Feyter P, van den Brand M, van der Giessen W; et al. (1999). "Long term outcome after coronary stent implantation: a 10 year single centre experience of 1000 patients.". Heart. 82 Suppl 2: II27–34. PMC 1766511Freely accessible. PMID 10490586. 
  3. Rassaf T, Steiner S, Kelm M (2013). "Postoperative care and follow-up after coronary stenting.". Dtsch Arztebl Int. 110 (5): 72–81; quiz 82. PMC 3576602Freely accessible. PMID 23437032. doi:10.3238/arztebl.2013.0072. 



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