Primary percutaneous coronary intervention (PPCI) has been shown to be the most effective treatment in restoring the coronary blood flow of patients with an ST-segment elevation myocardial infarction (STEMI). PPCI has also been shown to have better long-term survival rates, result in fewer non-fatal re-infarctions and cause fewer haemorrhagic strokes compared to patients treated with thrombolysis. It is only in the last 3 years that the government has decided to pilot the feasibility and cost-effectiveness of developing a nationwide PPCI service.
Ilsley C, Grocott Mason R. Setting up a primary percutaneous coronary intervention service - the Harefield experience. Recent Advances in Cardiology 15, Ed Rowlands and Clarke, 2008, pp169-184