What strategies have been tested to reduce transfer delays for patients with primary PCI?
Several triage and transfer strategies have been tested to reduce transfer delays for patients with primary PCI. These strategies include facilitated PCI, which is a strategy of full- or half-dose fibrinolysis, with or without administration of a glycoprotein (GP) IIb/IIIa receptor antagonist, with immediate transfer for planned PCI within 90 to 120 minutes. Another strategy is rescue PCI, which is the transfer for PCI of patients who demonstrate findings of failed reperfusion with fibrinolysis. Additionally, the term pharmacoinvasive strategy refers to the administration of fibrinolytic therapy either in the prehospital setting or at a non PCI-capable hospital, followed by immediate transfer to a PCI-capable hospital for early coronary angiography and PCI when appropriate.  