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Updated: Oct 23, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary
Luigi Di Serafino1, Fabio Magliulo1, Giovanni Esposito1
1Department of Advanced Biomedical Sciences, University of Naples Federico II Naples, Italy.
Abstract:
Up to half of patients undergoing primary percutaneous coronary intervention of a culprit stenosis in the context of the ST-elevation MI may present with multivessel disease. The presence of non-culprit stenoses have been shown to affect the outcomes of these patients, and the results of the more recent randomised trials highlight the importance of complete coronary revascularisation. In this paper, the authors review the main trials published on the topic and discuss tools for the assessment of non-culprit stenoses, while considering the right time for carrying out a complete coronary revascularisation.
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