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The Beta Blocker and Clonidine Protocol

Lesson 3
Risk Stratification

15. Risk of Angioplasty with Stent-PCI: Six Months

What is the risk of just PCI (percutaneous coronary angioplasty with an intracoronary stent) at six months? Death, MI, unstable angina, repeat PCI, and CABG. So PCI is not risk free.

got risk?

Goldman LE et. al. Can J Cardiol. 2004 May;20(6):608-12

bullet Death (1.8% versus 2.2%, P=0.7) (Single vs Multiple)
bullet Myocardial infarction (0.7% versus 2.6%, P=0.03)
bullet Unstable angina (12.0% versus 11.7%, P=0.9)
bullet Composite clinical end point of death, myocardial infarction or unstable angina (13.5% versus 13.9%, P=0.9) were similar.
bullet Multi-lesion PCI patients had a higher number of repeat PCI procedures (6.6% versus 13.4%, P=0.02)
bullet Coronary artery bypass graft surgery (3.0% versus 2.6%, P=0.7).


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