When should we not go for primary PCI in acute MI?

When should we not go for primary PCI in acute MI?

In this video, Dr. Viveka Kumar, Senior Director - Cath Lab, Max Super Speciality Hospital, Saket, will discuss when to not undergo primary PCI in acute MI. There are certain situations such as if the patient is pain free after 12 hours of the index MI, delayed presentation after 24 hours then the role of primary PTCA is not there. Also in patients with high risks of bleeding complications and in any patients where a major surgery has done, primary PCI is avoided as the risk of bleeding will be life threatening.