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.

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

Campo, Gianluca
Secondo
;
Maggioni, Aldo Pietro;Tonet, Elisabetta;Cocco, Marta
Penultimo
;
Pompei, Graziella
Ultimo
2024

Abstract

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.
2024
Bernelli, Chiara; Campo, Gianluca; Di Pasquale, Giuseppe; Maggioni, Aldo Pietro; Tonet, Elisabetta; Cocco, Marta; Pompei, Graziella
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/2532777
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