Slow ad hoc percutaneous coronary intervention strategy and coronary diameters

Introduction: In the era of coronary stenting, ad hoc percutaneous coronary intervention (PCI) can be performed in most of the patients with stable or unstable coronary artery disease as safely and successfully. In elective PCI patients, ad hoc PCI raises some concerns regarding ethical issues, informed decision making, thrombocyte inhibition, reduced/increased cost, patient anxiety and safety issues. PCIs performed on the same day as diagnostic angiography were considered “ad hoc”; all others were designated “staged”. Ad hoc PCI is therefore reasonable for many patients, but not desirable for all, and should not automatically be applied as a default approach