Does single-stage immediate complete revascularization improve clinical outcomes compared to delayed staged complete revascularization in patients with STEMI and multivessel disease?
In patients with STEMI and multivessel disease, immediate and delayed complete revascularization show similar overall clinical outcomes, though immediate single-stage PCI may increase the risk of cardiovascular death.
Our analysis documented similar clinical outcomes with either single-stage immediate complete revascularization and delayed staged complete revascularization. Secondary analyses suggest that an increase in cardiovascular death might be expected with single-stage percutaneous coronary intervention (PCI). While new randomized trials on the topic are ongoing, revascularization can be personalized and guided by the acute clinical setting, patients'-related factors and workflow logistics.
Panuccio et al. (Fri,) studied this question.
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