Coronary intervention in patients with acute coronary syndrome: Does every culprit lesion require revascularization?

被引：6

作者：

Bangalore S. ^{[1
]}

Faxon D.P. ^{[1
]}

机构：

[1] Division of Cardiology Boston, Department of Medicine, Brigham and Women's Hospital, MA 02120

来源：

Current Cardiology Reports | 2010年 / 12卷 / 4期

关键词：

Acute coronary syndromes; Complete revascularization; Culprit lesion angioplasty;

D O I：

10.1007/s11886-010-0115-8

中图分类号：

学科分类号：

摘要：

In patients presenting with acute coronary syndromes, 30-60% of patients have multiple significant coronary lesions. Patients presenting with acute coronary syndrome and multivessel disease have a significant increase in the incidence of major cardiovascular morbidity and mortality when compared with patients who have single-vessel disease. Although great progress has been made to reduce the extent of infarction through effective and rapid reperfusion due to faster time to reperfusion, potent antiplatelets, and antithrombotics, there is not much consensus as to how best to treat multivessel disease in patients presenting with acute coronary syndromes. We present a review of the current body of evidence for safety and efficacy of multivessel revascularization in patients presenting with acute coronary syndromes. © Springer Science+Business Media, LLC 2010.

引用

页码：330 / 337

页数：7

共 32 条

[1]

Heart Disease and Stroke Statistics - 2009 Update, (2009)

[2]

Kushner F.G., Hand M., Smith Jr. S.C., Et al., Circulation, 120, pp. 2271-2306, (2009)

[3]

Abbott J.D., Ahmed H.N., Vlachos H.A., Et al., Comparison of outcome in patients with ST-elevation versus non-ST-elevation acute myocardial infarction treated with percutaneous coronary intervention (from the national heart, lung, and blood institute dynamic registry), Am J Cardiol, 100, pp. 190-195, (2007)

[4]

Goldstein J.A., Demetriou D., Grines C.L., Et al., Multiple complex coronary plaques in patients with acute myocardial infarction, N Engl J Med, 343, pp. 915-922, (2000)

[5]

Jaski B.E., Cohen J.D., Trausch J., Et al., Outcome of urgent percutaneous transluminal coronary angioplasty in acute myocardial infarction: Comparison of single-vessel versus multivessel coronary artery disease, Am Heart J, 124, pp. 1427-1433, (1992)

[6]

Kahn J.K., Rutherford B.D., McConahay D.R., Et al., Results of primary angioplasty for acute myocardial infarction in patients with multivessel coronary artery disease, J Am Coll Cardiol, 16, pp. 1089-1096, (1990)

[7]

Muller D.W., Topol E.J., Ellis S.G., Et al., Multivessel coronary artery disease: A key predictor of short-term prognosis after reperfusion therapy for acute myocardial infarction. Thrombolysis and angioplasty in myocardial infarction (TAMI) study group, Am Heart J, 121, 4 PART 1, pp. 1042-1049, (1991)

[8]

Anderson J.L., Adams C.D., Antman E.M., Et al., Circulation, 116, (2007)

[9]

Wu X., Maehara A., Mintz G.S., Et al., Virtual histology intravascular ultrasound analysis of non-culprit attenuated plaques detected by grayscale intravascular ultrasound in patients with acute coronary syndromes, Am J Cardiol, 105, pp. 48-53

[10]

Corpus R.A., House J.A., Marso S.P., Et al., Multivessel percutaneous coronary intervention in patients with multivessel disease and acute myocardial infarction, Am Heart J, 148, pp. 493-500, (2004)

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