Percutaneous revascularization in non-ST-segment elevation acute coronary syndromes: complete or incomplete?

被引:0
作者
Bernelli, Chiara [1 ]
Campo, Gianluca [2 ]
Di Pasquale, Giuseppe [3 ]
Maggioni, Aldo Pietro [4 ]
Tonet, Elisabetta [2 ]
Cocco, Marta [2 ]
Pompei, Graziella [2 ]
机构
[1] Ponente ASL2 Liguria, Osped Santa Corona, UOC Cardiol, Viale 25 Aprile, I-17027 Pietra Ligure, SV, Italy
[2] Azienda Osped Univ Ferrara, UO Cardiol, Cona, FE, Italy
[3] Coordinamento Rete Cardiol & Chirurg Cardiovasc, Bologna, Regione Emilia, Italy
[4] Fdn Tuo cuore, Heart Care Fdn, Ctr Studi ANMCO, Florence, Italy
关键词
Coronary revascularization; Multivessel disease; Non-ST-elevation myocardial infarction; Percutaneous coronary intervention; FRACTIONAL FLOW RESERVE; OPTICAL COHERENCE TOMOGRAPHY; MYOCARDIAL-INFARCTION; STENT IMPLANTATION; INVASIVE STRATEGY; MEDICAL THERAPY; INTERVENTION; ANGIOGRAPHY; PCI; ARTERY;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Non-ST-elevation myocardial infarction with multivessel coronary disease is increasing in patients presenting with acute coronary syndrome (ACS) and it is associated with a high rate of mortality. Complete revascularization may reduce major adverse cardiac events in patients with ACS. However, the preferred revascularization strategies (complete vs incomplete) of non-culprit lesions in this setting, as well as the correct timing of revascularization are still matters of debate. This is mostly related to the heterogeneity of patients with this clinical presentation, who are often older and affected by multiple comorbidities. The present review aims to evaluate this topic highlighting the pros and cons of complete revascularization according to anatomical or functional and imaging evaluation and based on timing and patient's clinical phenotype.
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页码:26 / 35
页数:10
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