Multivessel percutaneous coronary intervention in patients with multivessel disease and acute myocardial infarction

American Heart Journal
Roberto A CorpusBarry D Rutherford

Abstract

The optimal percutaneous interventional strategy for dealing with significant non-culprit lesions in patients with multivessel disease (MVD) with acute myocardial infarction (AMI) at presentation remains controversial. A total of 820 patients treated with primary angioplasty for AMI between 1998 and 2002 were classified in groups of patients with single vessel disease (SVD) or MVD (> or =70% stenosis of > or =2 coronary arteries). Patients with MVD were subdivided in 3 groups on the basis of the revascularization strategy: 1) patients undergoing percutaneous coronary intervention (PCI) of the infarct-related artery (IRA) only; 2) patients undergoing PCI of both the IRA and non-IRA(s) during the initial procedure; and 3) patients undergoing PCI of the IRA followed by staged, in-hospital PCI of the non-IRA(s). Procedural, 30-day, and 1-year outcomes are reported. At 1 year, compared with patients with SVD, patients with MVD had a higher incidence of re-infarction (5.9% vs 1.6%, P =.003), revascularization (18% vs 9.6%, P <.001), mortality (12% vs 3.2%, P <.001), and major adverse cardiac events (MACEs; 31% vs 13%, P <.001). In patients with MVD, compared with PCI restricted to the IRA only, multivessel PCI was associated with hig...Continue Reading

References

Nov 4, 1991·The American Journal of Cardiology·P K Shah, J S Forrester
Nov 1, 1990·Journal of the American College of Cardiology·J K KahnG O Hartzler
Apr 1, 1994·The American Journal of Cardiology·W W O'NeillL G Berdan
Jul 8, 1996·Archives of Internal Medicine·J A Ambrose, M Weinrauch
Feb 11, 1999·Journal of the American College of Cardiology·R KornowskiM B Leon
Sep 28, 2000·The New England Journal of Medicine·J A GoldsteinW W O'Neill
Apr 12, 2001·The New England Journal of Medicine·P W SerruysUNKNOWN Arterial Revascularization Therapies Study Group
Oct 26, 2002·The American Journal of Cardiology·Miwako ShiharaUNKNOWN Japanese Coronary Invention Study (JCIS) Group
Nov 20, 2002·The Journal of Pharmacology and Experimental Therapeutics·Terrance D BarrettBenedict R Lucchesi

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Citations

Aug 19, 2007·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·A A KhattabG Richardt
Oct 16, 2012·Current Treatment Options in Cardiovascular Medicine·Victar Hsieh, Shamir R Mehta
Sep 3, 2013·The New England Journal of Medicine·David S WaldUNKNOWN PRAMI Investigators
Dec 2, 2010·European Heart Journal·Petr Widimsky, David R Holmes
Dec 18, 2010·European Heart Journal·Frank A FlachskampfWerner G Daniel
Dec 4, 2012·Interactive Cardiovascular and Thoracic Surgery·Maria MunzArtur P Águas
Oct 25, 2011·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Dennis T L WongStephen G Worthley
Apr 10, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Jun ShiraishiUNKNOWN AMI-Kyoto Multi-Center Risk Study Group
Apr 27, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Marcin SadowskiLech Poloński
Feb 22, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Damian J KellyAnthony H Gershlick
Mar 30, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Christopher J MalkinJulian Gunn
Aug 25, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Lisette Okkels JensenLeif Thuesen
Jul 7, 2007·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·M B NienhuisF Zijlstra
Sep 27, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Thomas Cuisset, Marko Noc
Dec 3, 2014·International Journal of Cardiology·Claudio MorettiFiorenzo Gaita
Mar 10, 2016·Internal and Emergency Medicine·Giuseppe Di PasqualePietro Sangiorgio
Jan 5, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Milosz JaguszewskiUNKNOWN AMIS Plus Investigators
Dec 19, 2007·Journal of Interventional Cardiology·Stefano RigattieriPaolo Loschiavo
Aug 3, 2006·Journal of Interventional Cardiology·Kishore J HarjaiUNKNOWN Primary Angioplasty In Myocardial Infarction (PAMI) Investigators
Sep 18, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Elisabetta VaraniAleardo Maresta
Nov 20, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ran Kornowski
May 7, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Farrukh HussainJohn Ducas
Jun 3, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ankur SethiSandeep Khosla
Feb 4, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Carlo Di Mario
Sep 21, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Kurt G BarringhausUNKNOWN GRACE Investigators
Jan 10, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Antonio ManariGianni Casella
Dec 28, 2010·The American Journal of Cardiology·Robert K RiezebosGerrit J Laarman
Jul 15, 2006·International Journal of Cardiology·Zsolt KoszegiIstván Edes

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