SCAI Expert Consensus Statement on the Management of Patients With STEMI Referred for Primary PCI

Figures

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  Figure 1. Reperfusion timeline in primary PCI for ST-elevation myocardial infarction. The various modes of presentation and the time-to-treatment goals. ECG, electrocardiogram; EMS, emergency medical services; PCI, percutaneous coronary intervention.

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  Figure 2. An algorithm for determining the proper arterial access in ST-elevation myocardial infarction. The considerations to be taken when determining arterial access in ST-elevation myocardial infarction. CABG, coronary artery bypass graft surgery; ESRD, end-stage renal disease; IMA, internal mammary artery graft; LIMA, left internal mammary artery graft; MCS, mechanical circulatory support; PCI, percutaneous coronary intervention.

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  Figure 3. Managing intracoronary thrombus. The step-by-step approach to managing intracoronary thrombus. PCI, percutaneous coronary intervention.

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  Figure 4. Mechanisms of stent thrombosis. The potential mechanisms of stent thrombosis. These are often assessed using intracoronary imaging. Adapted from Klein et al.66

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  Figure 5. Important parameters assessed by intracoronary imaging. The important variables that should be determined with intracoronary imaging before percutaneous coronary intervention (PCI) and at the end of PCI. IVUS, intravascular ultrasound; LM, left main; MLA, minimal lumen area; OCT, optical coherence tomography.