What are the 2015 ACC/AHA/SCAI treatment guidelines for percutaneous coronary intervention (PCI) in ST-elevation myocardial infarction (STEMI) (MI, heart attack)?

Updated: May 07, 2019
  • Author: A Maziar Zafari, MD, PhD, FACC, FAHA; Chief Editor: Eric H Yang, MD  more...
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Answer

In 2015 the ACC/AHA and Society for Cardiovascular Angiography and Interventions (ACC/AHA/SCAI) issued revised recommendations for PCI in STEMI patients, as indicated below. [128]

Class IIb

PCI of a noninfarct artery may be considered in selected hemodynamically stable STEMI patients with multivessel disease, either at the time of primary PCI or as a planned staged procedure. (Level of evidence: B-R)

The efficacy of selective and bailout aspiration thrombectomy in patients undergoing primary PCI remains to be established. (Level of evidence: C-LD)

Class III

PCI should not be performed in a noninfarct artery at the time of primary PCI in hemodynamically stable STEMI patients. (Level of evidence: B)

Routine aspiration thrombectomy before primary PCI is not useful. (Level of evidence: A)


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