Table 1.
Study | No. patients | Interventions | Period | Region, center | Inclusion criteria | Exclusion criteria |
Follow-up period, years |
---|---|---|---|---|---|---|---|
Di Mario et al. (5) | 69 | Immediate CR vs. COR | NA | UK/Italy, multi | STEMI with multivessel disease; 1~3 lesions in non-IRA amenable to treated with stent | CS; LM disease; ≥1 CTOs; diffuse calcification or severe tortuosity; <1 week thrombosis; vein grafts, arterial conduits or restenotic lesion | 1 |
Wald et al. (9) | 465 | Immediate CR vs. COR | 2008–2013 | UK, multi | STEMI with ≥50% stenosis of ≥1 non-IRAs | CS; LM disease; previous CABG; CTO as the only non-IRA; unable to provide consent | 1.9 (mean) |
Smits et al. (12) | 885 | Immediate CR vs. COR | 2011–2015 | 8 countries, multi | STEMI with ≥50% stenosis of ≥1 non-IRAs (or their major side branches of ≥ 2.0 mm) | LM disease; CTO; severe stenosis; TIMI flow ≥ 2 in non-IRA; suboptimal result or complications after IRA PCI; severe valve dysfunction; Killip class ≥ III | 1 |
Ghani et al. (7) | 121 | Staged CR before discharge or within 3 weeks after STEMI vs. COR | 2004–2007 | Netherlands, single | STEMI with ≥50% stenosis of ≥2 epicardial arteries, or the combination of a side branch and a main epicardial vessel (≥2.5mm) | Urgent indication for additional revascularization; > 80 years old; CTO; previous CABG; LM disease; restenotic lesions in non-IRAs; chronic atrial fibrillation; limited life-expectancy | 3 |
Engstrom et al. (11) | 627 | Staged CR 2 days after primary PCI before discharge vs. COR | 2011–2014 | Denmark, multi | STEMI with >50% in ≥1 non-IRAs | Intolerance of contrast media or of relevant anticoagulant or antithrombotic drugs; unconsciousness or CS; ST; indication for CABG; increased bleeding risk | 2.3 |
Hlinomaz et al. (25) | 214 | Staged CR 3~40 days after primary PCI vs. COR | 2009-2013 | Czech/Bulgaria, multi | STEMI with ≥70% in ≥1 non-IRAs (≥2.5mm) | CS; LM disease; hemodynamic instability; significant valvular disease; angina pectoris > grade 2 CCS lasting 1 month | 3.2 |
Mehta et al. (18) | 4041 | Staged CR before discharge or within 45 days after randomization vs. COR | 2013-2017 | 31 countries, multi | STEMI with visually ≥70% or 50~69% with FFR ≤ 0.8 in ≥1 non-IRAs (≥2.5mm) | Intention before randomization to revascularize a nonculprit lesion; planned surgical revascularization; previous CABG; life expectancy <5 year | 3 |
Ochala et al. (23) | 92 | Immediate CR vs. Staged CR 27 days after primary PCI | NA | Poland, multi | STEMI with >70% in ≥1 non-IRAs | CS; LM disease; previous CABG; target lesion in non-IRA not suitable for PCI; renal insufficiency or presence of 1 kidney; contraindications for antiplatelet therapy; valvular disease requiring surgery | 0.5 |
Maamoun et al. (24) | 78 | Immediate CR vs. Staged CR within 7 days after primary PCI | 2007-2008 | Yemen, single | STEMI with ≥70% stenosis of ≥2 angiographically-documented diseased arteries | CS; LM disease; pulmonary edema; previous revascularization; serum creatinine >1.4 mg/dl; contraindication for antiplatelet therapy | 1 |
Tarasov et al. (26) | 136 | Immediate CR vs. Staged CR 10 days after primary PCI before discharge | 2011-2014 | Russia, single | STEMI with visually≥70% stenosis of ≥2 epicardial arteries or significant branches (≥2.5mm) | CS; LM disease; contraindication to use heparin, aspirin, clopidogrel, ticagrelor, zotarolimus | 1 |
Politi et al. (6) | 214 | Immediate CR vs. COR vs. Staged CR 57 days after primary PCI | 2003-2007 | Italy, single | STEMI with visually>70% stenosis of ≥2 epicardial arteries or their major branches | CS; LM disease; previous CABG; severe valvular disease; unsuccessful procedures | 2.5 (mean) |
CABG, coronary artery bypass grafting; CCS, Canadian Cardiovascular Society; CTO, chronic total occlusion; COR, culprit-only revascularization; CR, complete revascularization; CS, cardiogenic shock; IRA, infarct-related artery; LM, left main; NA, not applicable; PCI, percutaneous coronary intervention; STEMI, ST segment elevation myocardial infarction.