ABSTRACT

Acute myocardial infarction (AMI) remains a major problem in the Western world. Complete and concise, Primary Angioplasty: Mechanical Interventions for Acute Myocardial Infarction provides an update on the rationale, techniques, and effectiveness of direct percutaneous mechanical revascularization for AMI. It combines a critical review of the key studies that are the foundation of evidence-based medicine with the so-called 'technology of experience.' The book puts the pathophysiologic and clinical aspects of AMI and reperfusion in an interventional perspective, highlighting the rationale for the best interventional approach to the patient with AMI.

Sharing insights based on their years of experience, the chapter authors present a comprehensive review of direct angioplasty and stenting supported by a full description of cases representing different angiographic and clinical patient subsets. The innovative format includes four sections based on clinical, technical, procedural, and logistic aspects of mechanical intervention for AMI. The book may be read in a conventional way, from beginning to end, or alternatively, starting from one of the four sections, and then following all possible sequences for the remaining three sections.

part |2 pages

Section 1 The Clinical Perspective

part |2 pages

Section 3 The Vessel Perspective

chapter 6|46 pages

Right coronary artery (RCA)

Renato Valenti, Angela Migliorini Case 6.1: The classic

chapter 8|14 pages

Left circumflex artery (LCX)

Renato Valenti, Angela Migliorini Case 8.1: An inhospitable vessel

chapter 10|8 pages

Multivessel coronary intervention

Renato Valenti, Angela Migliorini Case 10.1: Tea for two

part |2 pages

Section 4 The Efficacy Perspective

chapter 11|8 pages

Primary percutaneous coronary intervention for acute myocardial infarction in the ‘real world’

Renato Valenti, Emilio Vincenzo Dovellini, Giovanni Maria Santoro Effectiveness of percutaneous

chapter 12|14 pages

Assessment of myocardial reperfusion in acute myocardial infarction

Giovanni Maria Santoro The no-reflow phenomenon