Author Affiliations: Division of Cardiology, Virginia Commonwealth University Health System, Richmond.
Deyell et al1 provide evidence that the rate of percutaneous coronary intervention (PCI) for an occluded infarct-related artery (IRA) more than 24 hours after acute myocardial infarction (MI) has not significantly changed since publication of the Occluded Artery Trial (OAT).2 Their article, however, fails to address published evidence from several articles that provides some supportive evidence for performing PCI late in the course of an acute MI.
Appleton D, Abbate A, Biondi-Zoccai G. Percutaneous Coronary Intervention for Persistent Occlusion of the Infarct-Related Artery: An Expanded View of the Evidence. Arch Intern Med. 2011;171(21):1962-1963. doi:10.1001/archinternmed.2011.551