作者
Islam Y Elgendy, Ahmed N Mahmoud, Dharam J Kumbhani, Deepak L Bhatt, Anthony A Bavry
发表日期
2017/2/27
来源
JACC: Cardiovascular Interventions
卷号
10
期号
4
页码范围
315-324
出版商
American College of Cardiology Foundation
简介
Objectives
The authors sought to compare the effectiveness of the different revascularization strategies in ST-segment elevation myocardial infarction (STEMI) patients with multivessel coronary artery disease undergoing primary percutaneous coronary intervention (PCI).
Background
Recent randomized trials have suggested that multivessel complete revascularization at the time of primary percutaneous coronary intervention (PCI) is associated with better outcomes, however; the optimum timing for nonculprit PCI is unknown.
Methods
Trials that randomized STEMI patients with multivessel disease to any combination of the 4 different revascularization strategies (i.e., complete revascularization at the index procedure, staged procedure during the hospitalization, staged procedure after discharge or culprit-only revascularization) were included. Random effect risk ratios (RRs) were conducted. Network meta-analysis was …
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IY Elgendy, AN Mahmoud, DJ Kumbhani, DL Bhatt… - JACC: Cardiovascular Interventions, 2017