Evaluation of non-culprit lesions in patients with ST-segment Elevation Myocardial Infarction with Optical Coherence Tomography
Primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion for patients with ST-segment elevation myocardial infarction (STEMI) (1-4). These patients often have multivessel coronary artery disease, with additional angiographically significant lesions in locations separat...
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| Formato: | tesis doctoral |
| Fecha de publicación: | 2023 |
| País: | España |
| Recursos: | Universidad Complutense de Madrid (UCM) |
| Repositorio: | Docta Complutense |
| Idioma: | inglés |
| OAI Identifier: | oai:docta.ucm.es:20.500.14352/4126 |
| Acesso em linha: | https://hdl.handle.net/20.500.14352/4126 |
| Access Level: | acceso abierto |
| Palavra-chave: | 616-073.75(043.2) Tomography Tomografía Diagnóstico por imagen y medicina nuclear 3204.01 Medicina Nuclear |
| Resumo: | Primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion for patients with ST-segment elevation myocardial infarction (STEMI) (1-4). These patients often have multivessel coronary artery disease, with additional angiographically significant lesions in locations separate from that of the culprit lesion that caused the acute event (5). Whether to routinely revascularize these non-culprit lesions or to manage them conservatively with guideline based medical therapy alone is a common dilemma (6-8). Non-culprit lesions, which are usually discovered incidentally at the time of primary PCI, may represent stable coronary artery plaques, for which additional revascularization may not offer additional benefit (9). However, if non-culprit lesions have morphologic features consistent with unstable plaques, which confer an increased risk of future cardiovascular events, there may be a benefit of routine non-culprit-lesion PCI (10, 11)... |
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