Culprit Lesion Detection in Patients Presenting With Non-ST Elevation Acute Coronary Syndrome and Multivessel Disease

Matthew Mercieca Balbi; Paola Scarparo; Maria Tovar; Kaneshka Masdjedi; Joost Daemen; Wijnand K. den Dekker; Jürgen Ligthart; Karen Witberg; Paul Cummins; Jeroen Wilschut; Felix Zijlstra; Nicolas M. Van Mieghem; Roberto Diletti

doi:10.1016/j.carrev.2021.03.019

March 30, 2021Cardiovascular revascularization medicineOpen Access

Culprit Lesion Detection in Patients Presenting With Non-ST Elevation Acute Coronary Syndrome and Multivessel Disease

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Why the study?

Does complementary invasive imaging improve the diagnostic accuracy of culprit lesion detection in patients with NSTE-ACS and MVD?

Structured PICO

Does complementary invasive imaging improve the diagnostic accuracy of culprit lesion detection in patients with NSTE-ACS and MVD?

P

Population

Patients presenting with Non-ST Elevation Acute Coronary Syndrome (NSTE-ACS) and Multivessel Disease (MVD)

I

Intervention

Complementary invasive imaging

C

Comparator

Coronary angiography alone

O

Outcome

Diagnostic accuracy of culprit lesion detectionsurrogate

Implication

Complementary invasive imaging is valuable for identifying the culprit lesion in NSTE-ACS patients with multivessel disease when coronary angiography is ambiguous.

Abstract

The culprit lesion appeared unclear by coronary angiography in >10% of patients with NSTE-ACS and MVD. Complementary invasive imaging substantially enhanced the diagnostic accuracy of culprit lesion detection.

Discussion

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Cite This Study

Balbi et al. (2021) studied this question.

synapsesocial.com/papers/69c6c1315bdb2546d3d5ce16 https://doi.org/10.1016/j.carrev.2021.03.019

Topics

Coronary artery disease

Percutaneous coronary intervention

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Culprit Lesion Detection in Patients Presenting With Non-ST Elevation Acute Coronary Syndrome and Multivessel Disease

Structured PICO

Implication

Abstract

Discussion

Cite This Study

Topics

Culprit Lesion Detection in Patients Presenting With Non-ST Elevation Acute Coronary Syndrome and Multivessel Disease

Structured PICO

Implication

Abstract

Discussion

Cite This Study

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