Technical Aspects of Revascularization during Primary Percutaneous Coronary Intervention

Abstract

Primary percutaneous coronary intervention (PCI) is the standard of care for patients presenting with ST-segment elevation myocardial infarction (STEMI). Successful revascularization not only depends on timely reperfusion but also on appropriate technical strategies during PCI. Complex lesion morphology, heavy thrombus burden, bifurcation involvement, and multivessel disease present significant challenges that may influence procedural success and long-term outcomes. Optimizing device selection, lesion preparation, and stent deployment techniques is essential to restore coronary flow and minimize complications such as no-reflow, side branch occlusion, or stent thrombosis.