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If periprocedural MI is not an endpoint… is the simple strategy really better?
European Bifurcation Club 2011 – EBC 2011 – Lisbon, Portugal
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If periprocedural MI is not an endpoint… is the simple strategy really better?
Author: David Hildick-Smith, Sussex Cardiac Centre Brighton, UK
CONCLUSION
- “high-grade” Periprocedural MI is prognostically adverse (CKMB > 5-8)
- “low-grade” periprocedural MI is probably prognostically adverse
- The incidence of periprocedural MI is higher in complex bifurcation treatment
- Excluding periprocedural MI, there is still a trend towards less good long-term outcome for complex strategies
- A perfectly executed culotte probably incurs no added long-term risk
- A poorly executed culotte almost certainly incurs added long-term risk