Immediate versus staged revascularisation of non-culprit arteries in patients with acute coronary syndrome: a systematic review and meta-analysis

Although there is robust evidence that revascularisation of non-culprit vessels should be pursued in patients presenting with an acute coronary syndrome (ACS) and multivessel coronary artery disease (MVD), the optimal timing of complete revascularisation remains disputed. In this systematic review a...

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Detalhes bibliográficos
Autores: Vriesendorp, Pieter A., Wilschut, Jeroen M., Diletti, Roberto, Daemen, Joost, Kardys, Isabella, Zijlstra, Felix, Mieghem, Nicolas van, Bennett, Johan, Esposito, Giovanni, Sabaté Tenas, Manuel, Dekker, Wijnand K. den
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/206650
Acesso em linha:https://hdl.handle.net/2445/206650
Access Level:acceso abierto
Palavra-chave:Malalties coronàries
Derivació cardiopulmonar
Coronary diseases
Cardiopulmonary bypass
Descrição
Resumo:Although there is robust evidence that revascularisation of non-culprit vessels should be pursued in patients presenting with an acute coronary syndrome (ACS) and multivessel coronary artery disease (MVD), the optimal timing of complete revascularisation remains disputed. In this systematic review and meta-analysis our results suggest that outcomes are comparable for immediate and staged complete revascularisation in patients with ACS and MVD. However, evidence from randomised controlled trials remains scarce and cautious interpretation of these results is recommended. More non-biased evidence is necessary to aid future decision making on the optimal timing of complete revascularisation.

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