Table 2.
Study | Year | Inclusion criteria | Exclusion criteria |
Primary endpoint |
Secondary endpoints |
---|---|---|---|---|---|
Compare-Acute [13] | 2017 | Patients with STEMI and MVD (>50% stenosis of the N-IRA) | LM disease, CTO, severe valve disease, Killip class III or IV, severe stenosis and complications after IRA treatment. | MACCE (all-cause mortality, nonfatal MI, any revascularization, cerebrovascular events) | NACE (cardiac death, MI, any revascularization, CVA, major bleeding). |
Hamza et al. [12] | 2016 | Diabetic patients with STEMI and MVD (at least 80% stenosis in N-IRA) | Prior CABG, LM disease and CTO. | Composite of all- cause mortality, recurrent MI, ischemia driven revascularization with PCI or CABG. | Individual component of primary end point, major bleeding and CIN |
DANAMI 3- PRIMULTI [11] | 2015 | Patients with STEMI, MVD (>50% stenosis in the coronary artery) | Intolerance to contrast, cardiogenic shock, increase bleeding risk, stent thrombosis, indication for CABG | Composite of all- cause mortality, reinfarction, or ischemia driven revascularization of non-IRA. | Components of primary end-point, cardiac death, urgent and non urgent PCI of non-IRA |
CvLPRIT [10] | 2015 | STEMI or LBBB with MVD (at least one N-IRAwith >70% lesion in one plane or >50% in 2 plane) | Previous Q-wave MI, prior CABG, cardiogenic shock, VSD or severe MR, CKD, thrombosis of previous stent, CTO | MACE (all-cause mortality, MI,HF, ischemia driven PCI OR CABG). | Components of primary endpoints, CV death, stroke, major bleeding, CIN |
PRAGUE-13 (23) |
2015 | STEMI with successful PCI or IRA, at least 1 stenosis ofN-IRA > 70% with diameter > 2.5 mm, enrolment > 48h following onset of symptoms | Stenosis ofLM, hemodynamically significant valve disease, angina > 1 month prior to STEMI and cardiogenic shock. | All cause mortality, non- fatal MI and stroke. | Hospitalization for unstable angina, revascularization of non-infarct artery, CV mortality, hospitalization for HF, non-fatal MI and all-cause mortality |
Tarasov et al. [42] | 2014 | STEMI with MVD (>70% stenosis ofat least two or more coronary arteries), target lesion amenable to PCI and target lesion located in native artery | Single lesions, acute heart failure Killip class III-IV, LM stenosis, small vessel <2.5 mm, thrombosis of prior stent | MACE (cardiac or non-cardiac death, re-infarction, repeat coronary revascularization. | Individual components of primary endpoints |
PRAMI [9] | 2013 | STEMI and MVD (one or more >50% stenosis of the N-IRA) | Cardiogenic shock, prior CABG, LM disease or disease at ostia ofboth circumflex and LAD and CTO. | Composite of death from cardiac cause, nonfatal MI, refractory angina. | Death from non-cardiac cause, repeat revascularization (PC I and CABG) |
Ghani et al. [43] | 2012 | STEMI with MVD (one or more stenosis in at least 2 major epicardial arteries or the combination of side branch and a main epicardial vessel provided that they supplied different territory | Patients with indication for urgent revascularization, >80 years old, prior CABG, CTO, LM disease, chronic A fib, limited life expectancy. | Ejection fraction at 6 months. | MACE (death, non-fatal re-infarction and additional revascularization). |
Politi et al. [25] | 2010 | MVD (>70% stenosis of 2 or more epicardial coronary artery or major branches by visual estimate), ST elevation on EKG | Cardiogenic shock, LM disease, CABG, severe valve disease | MACE (CV and Non-CV death, in hospital death, re-infarction, re-hospitalization for ACS and repeat coronary revascularization | Length ofhospitalization and CIN |
PRIMA [24] | 2004 | STEMI with successful PCI of IRA and at least 1 significant >70% stenosis of the coronary artery other than IRA | LM disease, cardiogenic shock, target lesion in N-IRA not suitable for PCI. | Absolute improvement in the LVEF, recovery time and magnitude of EF increase were assessed. | Safety of single stage PCI. All cause mortality, MI, urgent revascularization, bleeding, unstable angina and CV hospitalization. |
HELP- AMI [44] | 2004 | STEMI with MVD (IRA and one or more lesion in N-IRA) | Lesion in vein graft, arterial conduits or in segments treated with angioplasty or stent implantation, recent thrombolysis, cardiogenic shock, single vessel disease, LM disease, CTO and side branch >2 mm which required to be covered by the stent. | Rate of repeat revascularization over a period of12 months. | Adverse in hospital events, procedural-cost |
STEMI = ST elevation myocardial infarction, MVD = multi vessel disease, CTO = chronic total occlusion, LM = left main, N-IRA = non infarct related artery, IRA = infarct related artery, MI = myocardial infarction, CABG = coronary artery bypass grafting, CIN = contrast induced nephropathy, CVA = cerebrovascular accident, PCI = percutaneous coronary intervention, VSD = ventricular septal defect, MR = mitral regurgitation, ACS = acute coronary syndrome, HF = heart failure, MACCE = major adverse cardiovascular cerebrovascular events, NACE = net adverse clinical events.