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When will acute stroke interventions be as widely available as primary PCI?

Cardiocenter, University Hospital Kralovske Vinohrady and Third Faculty of Medicine, Charles University, Prague, Czech Republic

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Introduction

During the period from 1991 to 1993 I was working in the Netherlands where I underwent research training (Erasmus University Rotterdam) and interventional cardiology training (Thoraxcenter Zwolle). That was the fascinating period when thrombolytic treatment of acute myocardial infarction became the standard of care and the first small randomised trials demonstrated that primary percutaneous coronary intervention (p-PCI) is superior to thrombolysis in the treatment of patients presenting with acute ST-segment elevation myocardial infarction (STEMI)1-3. It took nine more years before the first national (Czech) guidelines recommended primary…

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