Abstract
Although direct angioplasty may have been undervalued in the past, its utility in the treatment of acute coronary occlusion is now firmly established, and it unquestionably will remain an integral component of myocardial reperfusion therapy. As refinements in angioplasty equipment, cardiovascular support techniques, and adjunctive therapy occur, the challenge facing cardiologists in the 1990s will be to define the most effective role for direct angioplasty in the treatment of acute myocardial infarction.
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