ABSTRACT

INTRODUCTION Despite a relative paucity of data, rescue percutaneous coronary intervention (PCI), or PCI performed for an occluded infarct artery after fibrinolytic therapy, obtains IIa sanction if the infarct appears to be large and PCI is performed within 12 hours of infarct onset according to both the 2007 American College of Cardiology and 2008 European Society of Cardiology guidelines (1-2). This chapter reviews the data behind these guidelines and delve somewhat further into their practical application.