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European Heart Journal 2003 24(22):2072; doi:10.1016/j.ehj.2003.09.025
Copyright © 2003 by the European Society of Cardiology.
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Letter to the Editor

Transport for primary PCI in AMI: one-way or roundtrip journey?

Petr Widimsky* on behalf of the PRAGUE Study Group

Cardiocenter Vinohrady, Cardiocenter University Hospital, Srobarova 50, 10034 Prague10, Czech Republic

* Correspondence to: +420 2 6716 3159; fax: +420 2 6716 2621
E-mail address: widim{at}fnkv.cz

Dr G. Casella and P. C.Cavesi from Bologna are asking about the policy for transportation AFTER primary PCI back from the ‘hub’ to the ‘spoke’ centre in the PRAGUE-2 trial. All patients in the PRAGUE-2 trial remained after primary PCI in he ‘hub’ centre at least until groin compression was removed (12–18h post procedure). Most of them have been transferred back to ‘spoke’ centre after >24h. Patients with cardiogenic shock, heart failure or severe stenosis of other (non-infarct) coronary artery (or arteries) usually remained at the PCI (hub) centre until stabilization or until revascularization of other critical and clinically important lesions. As a rule, the decision was left always on the PCI (hub) centre and was aimed to respect:

  1. Patient best interest and
  2. The right of ‘spoke’ centre to care further for ‘his’ patient in post-PCI course.


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