FFR-Guided Complete or Culprit-Only PCI in Patients with Myocardial Infarction

被引:1
|
作者
Li, Peng [1 ]
机构
[1] Beijing Hosp, Beijing, Peoples R China
来源
NEW ENGLAND JOURNAL OF MEDICINE | 2024年 / 391卷 / 03期
关键词
D O I
10.1056/NEJMc2406683
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To the Editor: Bohm et al. (April 25 issue)(1) explored the effectiveness of fractional flow reserve (FFR)-guided complete revascularization as compared with culprit-only percutaneous coronary intervention (PCI) in patients with ST-segment myocardial infarction (STEMI) or very-high-risk non-STEMI with multivessel disease. Their trial, FULL REVASC (FFR-Guidance for Complete Nonculprit Revascularization), showed that the use of FFR for complete revascularization did not lead to a lower risk of unplanned revascularization procedures than culprit-only PCI. However, this finding is in contrast with results from the COMPLETE (Complete versus Culprit-Only Revascularization Strategies to Treat Multivessel Disease after Early PCI for STEMI) and FIRE (Functional . . .
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收藏
页码:287 / 288
页数:2
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