Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease

Up to half of patients undergoing primary percutaneous coronary intervention of a culprit stenosis in the context of the ST-elevation MI may present with multivessel disease. The presence of non-culprit stenoses have been shown to affect the outcomes of these patients, and the results of the more re...

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Main Authors: Luigi Di Serafino, Fabio Magliulo, Giovanni Esposito
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-07-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articleindex/icr.2020.28
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author Luigi Di Serafino
Fabio Magliulo
Giovanni Esposito
author_facet Luigi Di Serafino
Fabio Magliulo
Giovanni Esposito
author_sort Luigi Di Serafino
collection DOAJ
description Up to half of patients undergoing primary percutaneous coronary intervention of a culprit stenosis in the context of the ST-elevation MI may present with multivessel disease. The presence of non-culprit stenoses have been shown to affect the outcomes of these patients, and the results of the more recent randomised trials highlight the importance of complete coronary revascularisation. In this paper, the authors review the main trials published on the topic and discuss tools for the assessment of non-culprit stenoses, while considering the right time for carrying out a complete coronary revascularisation.
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institution Kabale University
issn 1756-1477
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language English
publishDate 2021-07-01
publisher Radcliffe Medical Media
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series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-df52a4386e4a40b7b101331c7f4688b32024-12-14T16:02:56ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852021-07-011610.15420/icr.2020.28Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery DiseaseLuigi Di Serafino0Fabio Magliulo1Giovanni Esposito2Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, ItalyUp to half of patients undergoing primary percutaneous coronary intervention of a culprit stenosis in the context of the ST-elevation MI may present with multivessel disease. The presence of non-culprit stenoses have been shown to affect the outcomes of these patients, and the results of the more recent randomised trials highlight the importance of complete coronary revascularisation. In this paper, the authors review the main trials published on the topic and discuss tools for the assessment of non-culprit stenoses, while considering the right time for carrying out a complete coronary revascularisation.https://www.icrjournal.com/articleindex/icr.2020.28
spellingShingle Luigi Di Serafino
Fabio Magliulo
Giovanni Esposito
Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease
Interventional Cardiology: Reviews, Research, Resources
title Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease
title_full Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease
title_fullStr Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease
title_full_unstemmed Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease
title_short Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease
title_sort functionally complete coronary revascularisation in patients presenting with st elevation mi and multivessel coronary artery disease
url https://www.icrjournal.com/articleindex/icr.2020.28
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AT fabiomagliulo functionallycompletecoronaryrevascularisationinpatientspresentingwithstelevationmiandmultivesselcoronaryarterydisease
AT giovanniesposito functionallycompletecoronaryrevascularisationinpatientspresentingwithstelevationmiandmultivesselcoronaryarterydisease