Long-term outcomes of in-hospital staged revascularization vs culprit-only intervention for patients with ST-segment elevation myocardial infarction and multivessel disease
Coronary Artery Disease Apr 17, 2019
Cui K, et al. - In real-world subjects having ST-segment elevation myocardial infarction (STEMI) and multivessel coronary artery disease, researchers compared outcomes of culprit-only percutaneous coronary intervention (PCI) and in-hospital staged complete revascularization over a long duration. They examined 133 patients who received in-hospital staged complete revascularization and 319 who received culprit-only PCI between May 2012 and December 2015. A composite of all-cause death, nonfatal myocardial infarction, stroke, and unplanned revascularization defined major adverse cardiac and cerebrovascular event (MACCE), which was considered as primary end point. Participants were followed for a median duration of 3.2 years. A better 3-year composite outcome was observed in relation to an approach of in-hospital staged complete revascularization vs culprit-only PCI among patients with STEMI and multivessel disease undergoing primary PCI.
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