Two Studies Support Staged PCI for Multivessel Disease in STEMI Patients
August 9, 2011—In the Journal of the American College of Cardiology, Pieter J. Vlaar, MD, et al published findings from a study that sought to investigate whether, in patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease (MVD), percutaneous coronary intervention (PCI) should be confined to the culprit vessel or also include nonculprit vessels and, when performing PCI for nonculprit vessels, whether it should take place during primary PCI or staged procedures (2011;58:692–703). The background of the study is that a significant percentage of STEMI patients have MVD. However, the best PCI strategy for nonculprit vessel lesions is unknown, the investigators noted.