STEMI patients and nonculprit lesions: To treat or not to treat? and when? A review of most recent literature

Aldo Ruggieri; Davide Piraino; Gregory Dendramis; Bernardo Cortese; Michele Carella; Dario Buccheri; Giuseppe Andolina; Pasquale Assennato

doi:10.1002/ccd.26236

STEMI patients and nonculprit lesions: To treat or not to treat? and when? A review of most recent literature

Catheter Cardiovasc Interv. 2016 Jun;87(7):1258-68. doi: 10.1002/ccd.26236. Epub 2015 Sep 14.

Authors

Aldo Ruggieri¹, Davide Piraino^{1

2}, Gregory Dendramis^{1

3}, Bernardo Cortese², Michele Carella¹, Dario Buccheri^{1

2}, Giuseppe Andolina¹, Pasquale Assennato³

Affiliations

¹ Section of Interventional Cardiology and Haemodynamics, A.O.U.P "Paolo Giaccone", Palermo, Italy.
² Interventional Cardiology, A.O. Fatebenefratelli, Milan, Italy.
³ Section of Intensive Coronary Care Unit, A.O.U.P "Paolo Giaccone", Palermo, Italy.

PMID: 26367867
DOI: 10.1002/ccd.26236

Abstract

Patients with ST segment elevation myocardial infarction and multivessel disease represent a high percentage of ischemic patient with a worse outcome than patient with single coronary artery disease. Therefore, initial management of these patients is of high importance, but unfortunately this is not clarified yet. We analyze the available literature trying to afford current doubts to determine which way of revascularization is to be preferred. © 2015 Wiley Periodicals, Inc.

Keywords: IRA-PCI; STEMI; complete revascularization; multivessel disease; staged-PCI.

Publication types

Case Reports
Review

MeSH terms

Coronary Angiography
Coronary Artery Disease / diagnostic imaging
Coronary Artery Disease / mortality
Coronary Artery Disease / physiopathology
Coronary Artery Disease / therapy*
Evidence-Based Medicine
Female
Hemodynamics
Humans
Male
Meta-Analysis as Topic
Middle Aged
Patient Selection
Percutaneous Coronary Intervention / adverse effects
Percutaneous Coronary Intervention / methods*
Percutaneous Coronary Intervention / mortality
Risk Assessment
Risk Factors
ST Elevation Myocardial Infarction / diagnostic imaging
ST Elevation Myocardial Infarction / mortality
ST Elevation Myocardial Infarction / physiopathology
ST Elevation Myocardial Infarction / therapy*
Time Factors
Treatment Outcome