Air Primary Angioplasty in Myocardial

Grines CL, Westerhausen DR, Grines LL, et al. A randomized trial of transfer for primary angioplasty versus on-site thrombolysis in patients with high-risk myocardial infarction the Air Primary Angioplasty in Myocardial Infarction Study. J Am Coil Cardiol 2002 39 1713-1719. 

In the only comparable U.S. trial of such a strategy, the Air Primary Angioplasty in Myocardial Infarction (AIR PAMI) study, door-to-balloon times were 155 minutes, including 35 minutes from presentation to randomization. Unfortunately, this promising study was terminated early secondary to slow patient accrual. Point estimates favoring transfer for primary PCI over on-site fibrinolysis were seen among the 138 patients who were randomized, with major adverse cardiac events (death, reinfarction, or stroke) occurring in 8.4% of patients treated with PCI versus 13.6% of patients treated with fibrinolysis... 

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