14. Which of the following best describes rescue percutaneous coronary intervention?

A. Percutaneous coronary intervention after a ST segment elevation myocardial infarction patient was rapidly transferred from a non-PCI facility for coronary intervention

B. The use of fibrinolytic therapy to stabilize a patient prior to transfer to a facility capable of percutaneous coronary intervention

C. The use of percutaneous coronary intervention when fibrinolytic therapy fails

D. The use of percutaneous coronary intervention when fibrinolytic therapy is initially successful, then non-invasive testing shows a large area of ischemia

E. Fibrinolytic therapy given in the field prior to hospital arrival

Facilitated PCI refers to using fibrinolytic therapy to stabilize the patient while transport is being arranged to a primary PCI facility. This strategy receives a class IIb indication for high-risk patients with a low bleeding risk when primary PCI is not readily available.

Rescue PCI refers to the use of PCI when fibrinolytic therapy fails. This is indicated after fibrinolytic therapy when cardiogenic shock develops, when severe congestive heart failure develops (Killip Class III), electrical instability (ventricular tachycardia or fibrillation) or persistent ischemic symptoms.