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Chapter 58 – Percutaneous Coronary Intervention

Jeffrey J. Popma,
Deepak L. Bhatt

  INDICATIONS FOR PERCUTANEOUS CORONARY INTERVENTION, 1270
  Patient-Specific Considerations for Percutaneous Coronary Intervention, 1271

  VASCULAR ACCESS, 1276
  Vascular Access Complications, 1276
  Vascular Closure Devices, 1277

  CORONARY DEVICES, 1277
  Balloon Angioplasty, 1277
  Coronary Atherectomy, 1277
  Thrombectomy and Aspiration Devices, 1278
  Embolic Protection Devices, 1278
  Coronary Stents, 1279
  Drug-Eluting Stents, 1280

  ANTIPLATELET AGENTS, 1282
  ANTITHROMBIN AGENTS, 1283
  OUTCOMES AFTER PERCUTANEOUS CORONARY INTERVENTION, 1284
  Outcomes Benchmarking and Procedural Volumes, 1287

  FUTURE DIRECTIONS, 1287
  REFERENCES, 1287
  GUIDELINES, 1290

The use of percutaneous coronary intervention (PCI) to treat ischemic coronary artery disease (CAD) has expanded dramatically during the past three decades. In the absence of left main or complex multivessel CAD, PCI is the preferred method of revascularization in the United States for most patients with …