Stenting is in general more effective than thrombolysis.
Thrombolysis is generally used in patients who are not eligible to undergo stenting or who have missed reperfusion due to delayed patient access or due to prolonged referral time, and thrombolysis is prone to complications such as bleeding and secondary cerebrovascular lesions.
Thrombolytic therapy can obtain a certain degree of revascularization, but it may leave severe stenosis problems and cannot achieve the level of adequate vessel opening that can be achieved with intracoronary stenting.
Stenting, i.e., coronary intervention, is the first choice for myocardial reperfusion. Coronary intervention allows for early recanalization of occluded coronary arteries, myocardial reperfusion, and myocardium on the verge of necrosis may survive or the extent of necrosis may be minimized, thus improving the prognosis of the patient.
Thrombolysis and coronary intervention are both therapeutic means to achieve myocardial reperfusion, under the same conditions, coronary intervention is more effective, but should be adapted to the specific circumstances, emergency medical treatment, subject to the prevailing conditions, the choice of individualized treatment plan.