Coronary angioplasty in myocardial infarction

Acute myocardial infarction (AMI) is a serious cardiac event that risks the life of anyone who suffers it. It consists in the obstruction of a coronary artery, which impedes blood flow to part of the heart itself.

The most effective treatment for AMI, which guarantees the least damage to the heart and the greatest subsequent quality of life, is opening the coronary artery - which can be done by means of fibrinolitics (medication administered intravenously which destroys the thrombus blocking the artery by acting upon the blood-clotting system). The other method of Coronary Angioplasty which, by means of a catheter, directly accesses the obstruction and acts on the lesion, creating the necessary opening and re-establishing the flow of blood to the affected area.

Coronary angioplasty using current techniques:

  • Balloon.
  • Rotational atherectomy (Rotablator).
  • Cutting balloon.  - Intracoronary stent.
  • Pharmacoactive intracoronary stent. 
  • Treatment of complex coronary lesions: bifurcation, etc.

Angioplasty is acute myocardial infarction (AMI):  

  • Primary angioplasty: angioplasty within an AMI.
  • Rescue angioplasty: in cases where the patient has received fibrinolitic therapy without success in repermeabilising the blood vessel. Early post-fibrinolisis angioplasty.
  • Facilitated angioplasty: angioplasty in cases where the patient has received fibrinolitic therapy during the transfer to our facilities, to facilitate the opening of the blood vessel and reducing the time of the ischemia.
  • Connection of aortic counterpulsation balloon: cardiogenic shock, high-risk coronary disease, unstable refractory angina, mechanical and/or mechanical complications in the AMI, severe ventricular dysfunction.
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Occluded artery in patient with myocardial infarction.
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Dilatation with Stent
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Normal blood flow post angioplasty.