Nonculprit Lesion Intervention

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Optimal Timing of Percutaneous Coronary Intervention for Nonculprit Vessel in Patients with ST-Segment Elevation Myocardial Infarction and Multivessel Disease

BACKGROUND AND OBJECTIVES In patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease (MVD), the optimal timing of staged percutaneous coronary intervention (PCI) remains unclear. SUBJECTS AND METHODS This study was a retrospective analysis of 753 STEMI patients with MVD who were treated by multivessel PCI in the Convergent Registry of Catholic and Chonnam Univ...

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[Importance of severe lesions left untreated in patients with acute coronary syndromes and angioplasty of the culprit lesion].

INTRODUCTION AND OBJECTIVES Patients with acute coronary syndromes may have significantly stenotic nonculprit lesions that do not show complex lesion morphology. We investigated whether these lesions were prone to become unstable since they exist within a prothrombotic and inflammatory systemic milieu. PATIENTS AND METHOD We evaluated the clinical course of 150 patients after successful angio...

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Exaggeration of nonculprit stenosis severity during acute myocardial infarction: implications for immediate multivessel revascularization.

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When collateral supply is accounted for epicardial stenosis does not increase microvascular resistance.

BACKGROUND The relationship between epicardial stenosis and microvascular resistance remains controversial. Exploring the relationship is critical, as many tools used in interventional cardiology imply minimal and constant resistance. However, variable collateralization may impact well on these measures. We hypothesized that when collateral supply was accounted for, microvascular resistance wou...

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ژورنال

عنوان ژورنال: JACC: Cardiovascular Interventions

سال: 2018

ISSN: 1936-8798

DOI: 10.1016/j.jcin.2018.08.029