急性心肌梗死后非梗死相关动脉狭窄的介入治疗策略

Percutaneous Coronary Intervention Strategy for Non-Culprit Lesions in Patients of Multivessel Disease with Acute Myocardial Infarction

急性心肌梗死多支病变患者急诊冠脉介入手术开通梗死相关动脉后,残余的非梗死相关动脉狭窄的介入治疗问题一直存在争议。现就如何评价非梗死相关动脉狭窄及如何选择最能从分期冠脉介入术中获益的患者等问题进行综述。

After emergent pereutaneous coronary intervention （PCI） procedure for infarct-related artery. （IRA） in patients with acute myocardial infarction and muhivessel disease, it is still controversial whether a staged PCI procedure should be performed for remaining severe non-IRA stenosis. This article will review current literature, and discuss how to evaluate non-IRA lesions, the indications for further PCI procedures, and the prognosis of patients who had PCIs compared with those who did not have PCIs.