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Coronary artery disease is a diffuse process, and patients presenting with ST-segment elevation myocardial infarction (STEMI) have multiple lesions that may be suitable for percutaneous coronary intervention (PCI). The best strategy regarding PCI for STEMI in multivessel disease is an unresolved issue. Although current guidelines recommend that PCI in non-culprit arteries should not be attempted unless the patient is hemodynamically unstable, 1)2) it is uncertain whether PCI of the infarct-related artery only or a strategy of complete revascularization, either in a simultaneous or staged multivessel PCI approach, will improve outcome. In contemporary medical therapy, it is not clear whether intervening to treat stable chronic nonculprit lesions in patients with STEMI can prevent major adverse cardiovascular events. Moreover, multivessel stenting in this setting could potentially be associated with greater contrast usage and periprocedural myocardial infarction secondary to side branch closure and distal embolization. 3)

korean circulation journal

Staged Complete Revascularization in ST-Segment Elevation Myocardial Infarction Should Be the Treatment of Choice Compared to Primary Complete Revascularization