What is multivessel PCI?

Multivessel PCI, defined as PCI of the culprit vessel as well as one or more nonculprit vessel lesions. Staged PCI, defined as PCI confined to the culprit vessel only, with one or more nonculprit lesions treated in staged interventions.

What is multivessel percutaneous coronary intervention?

Abstract. Background: Recent trials demonstrated a benefit of multivessel percutaneous coronary intervention (PCI) for noninfarct-related artery (non-IRA) stenosis over IRA-only PCI in patients with ST-segment elevation myocardial infarction (STEMI) multivessel disease.

What is multivessel disease?

Multivessel coronary artery disease (MVD) is defined as luminal stenosis of at least 70% in at least two major coronary arteries or in one coronary artery in addition to a 50% or greater stenosis of the left main trunk.

What is PCI in myocardial infarction?

Percutaneous coronary intervention (PCI), also known as coronary angioplasty, is a nonsurgical technique for treating obstructive coronary artery disease, including unstable angina, acute myocardial infarction (MI), and multivessel coronary artery disease (CAD).

Which is better STEMI or multivessel PCI?

Among patients with STEMI and multivessel coronary artery disease, complete revascularization was superior to culprit-lesion-only PCI in reducing the risk of cardiovascular death or myocardial infarction, as well as the risk of cardiovascular death, myocardial infarction, or ischemia-driven revascularization.

How does PCI reduce the risk of myocardial infarction?

List of authors. In patients with ST-segment elevation myocardial infarction (STEMI), percutaneous coronary intervention (PCI) of the culprit lesion reduces the risk of cardiovascular death or myocardial infarction. Whether PCI of nonculprit lesions further reduces the risk of such events is unclear.

How does complete revascularization with multivessel PCI work?

Eligible patients were randomly assigned to undergo either complete revascularization or culprit-lesion-only revascularization according to a computer-generated randomization list with the use of randomly permuted blocks and with blinding to trial center.

When to use selective nonculprit PCI in Amics?

Selective nonculprit PCI can be safety performed in AMICS in patients supported with … In patients with MVCAD presenting with AMICS treated with early MCS, revascularization of nonculprit lesions was associated with similar hospital survival and acute kidney injury when compared with culprit-only PCI.