Abstract
infarct artery. PTCA was successful in 11 of the 12. Our experience with PTCA in this setting is similar in terms of the good success in recanalizing the infarct artery (‘7 of our 8 patients). The greater number of total occlusions (6) in our series probably reflects our electrocardiogram entry criterion of transmural injury (ST elevations) with reciprocal depressions. We were impressed that PTCA could recanalize infarct arteries quickly; with an experienced team it averaged about 20 minutes from the time of the initial arterial puncture. Another advantage of this technique, which has great potential importance, is its avoidance of the hemostatic problems inherent to thrombolytic therapy. Although not done in these 8 patients, urgent bypass surgery could have been performed without concern for a treatment-induced bleeding diathesis. References
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