[How to assess coronary lesion, reperfusion quality, and PCI result?].
During High Tech congress 2004, different questions have been discussed concerning the assessment of cardiac ischemia, quality of reperfusion and result of angioplasty. Coronary angiogram alone is not enough to decide the optimal therapeutic strategy. Ischemia-driven decision is a much better option. How should we assess the more accurately the need for ischemia-driven revascularization? Angiographic success (TIMI 3 flow grade) after angioplasty is near 95%, but is not sufficient to assess precisely the quality of myocardial reperfusion. Which more efficient tools are available? At last, which angiographic or clinical criteria should we use to assess the result of angioplasty?
Barthélémy
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Centre cardiologique du Nord, 32, rue des Moulins-Gémeaux, 93200 Saint-Denis, France. olivier.barthelemy@psl.ap-hop-paris.fr
D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000503:physiopathology* / Q000628:therapy*; D006801:Humans; D015425:Myocardial Reperfusion; D016896:Treatment Outcome