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  • Böhm, FelixThe Department of Cardiology, Karolinska Institute, Danderyd Hospital, Danderyd, Sweden,Karolinska Inst, Sweden; Danderyd Hosp, Sweden (författare)

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

  • Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

  • Massachusetts Medical Society,2024
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:kth-346380
  • https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-346380URI
  • https://doi.org/10.1056/NEJMoa2314149DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-224128URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-202472URI
  • https://gup.ub.gu.se/publication/336923URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:155470621URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • QC 20240521
  • Funding Agencies|Swedish Research Council [2015-00884]; Swedish Heart-Lung Foundation [20150521]; Stockholm County Council (ALF project) [RS2020-0731]; Abbott; Boston Scientific
  • BACKGROUND: The benefit of fractional flow reserve (FFR)-guided complete revascularization in patients with ST-segment elevation myocardial infarction (STEMI) and multivessel coronary artery disease remains unclear. METHODS: In this multinational, registry-based, randomized trial, we assigned patients with STEMI or very-high-risk non-STEMI (NSTEMI) and multivessel disease who were undergoing primary percutaneous coronary intervention (PCI) of the culprit lesion to receive either FFR-guided complete revascularization of nonculprit lesions or no further revascularization. The primary outcome was a composite of death from any cause, myocardial infarction, or unplanned revascularization. The two key secondary outcomes were a composite of death from any cause or myocardial infarction and unplanned revascularization. RESULTS: A total of 1542 patients underwent randomization, with 764 assigned to receive FFR-guided complete revascularization and 778 assigned to receive culprit-lesion-only PCI. At a median follow-up of 4.8 years (interquartile range, 4.3 to 5.2), a primary-outcome event had occurred in 145 patients (19.0%) in the complete-revascularization group and in 159 patients (20.4%) in the culprit-lesion-only group (hazard ratio, 0.93; 95% confidence interval [CI], 0.74 to 1.17; P = 0.53). With respect to the secondary outcomes, no apparent between-group differences were observed in the composite of death from any cause or myocardial infarction (hazard ratio, 1.12; 95% CI, 0.87 to 1.44) or unplanned revascularization (hazard ratio, 0.76; 95% CI, 0.56 to 1.04). There were no apparent between-group differences in safety outcomes. CONCLUSIONS: Among patients with STEMI or very-high-risk NSTEMI and multivessel coronary artery disease, FFR-guided complete revascularization was not shown to result in a lower risk of a composite of death from any cause, myocardial infarction, or unplanned revascularization than culprit-lesion-only PCI at 4.8 years. (Funded by the Swedish Research Council and others; FULL REVASC ClinicalTrials.gov number, NCT02862119.).

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Mogensen, BrynjölfurThe Department of Cardiology, Karolinska Institutet, Danderyd Hospital,Karolinska Inst, Sweden; Danderyd Hosp, Sweden (författare)
  • Engstrøm, ThomasThe Department of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark,Univ Copenhagen, Denmark (författare)
  • Stankovic, GoranThe University Clinical Center of Serbia, The Faculty of Medicine, University of Belgrade, Belgrade, Serbia,Univ Belgrade, Serbia (författare)
  • Srdanovic, IlijaThe Faculty of Medicine, University of Novi Sad, Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Serbia,Univ Novi Sad, Serbia (författare)
  • Lønborg, JacobThe Department of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark,Univ Copenhagen, Denmark (författare)
  • Zwackman, SammyLinköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)samzw44 (författare)
  • Hamid, MehmetThe Department of Cardiology, Mälarsjukhuset, Eskilstuna, Sweden (författare)
  • Kellerth, ThomasThe Department of Cardiology, Central Hospital, Karlstad, Sweden,Cent Hosp Karlstad, Sweden (författare)
  • Lauermann, JörgThe Department of Cardiology, Ryhov Hospital, Jönköping, Sweden,Ryhov Hosp, Sweden (författare)
  • Kajander, Olli A.The Heart Hospital, Tampere University Hospital, The Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland,Tampere Univ, Finland; Tampere Univ, Finland (författare)
  • Andersson, JonasUmeå universitet,Kardiologi,Umea Univ Hosp, Sweden(Swepub:umu)joan0102 (författare)
  • Linder, RikardKarolinska Institutet (författare)
  • Angerås, Oskar,1976Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xangos (författare)
  • Renlund, HenrikThe Department of Medical Sciences, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden (författare)
  • Ērglis, AndrejsThe Latvian Center of Cardiology, Pauls Stradins Clinical University Hospital, University of Latvia, Riga, Latvia,Univ Latvia, Latvia (författare)
  • Menon, MadhavThe Cardiology Department, Waikato Hospital, Hamilton, New Zealand,Waikato Hosp, New Zealand (författare)
  • Schultz, CarlThe Medical School, University of Western Australia, The Department of Cardiology, Royal Perth Hospital, Perth, WA, Australia,Univ Western Australia, Australia; Royal Perth Hosp, Australia (författare)
  • Laine, MikaThe Heart and Lung Center, Helsinki University Central Hospital, Helsinki, Finland,Helsinki Univ Cent Hosp, Finland (författare)
  • Held, ClaesThe Department of Medical Sciences, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden; Uppsala Univ, Sweden (författare)
  • Rück, AndreasKarolinska Institutet (författare)
  • Östlund, OllieThe Department of Medical Sciences, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden (författare)
  • James, StefanThe Department of Medical Sciences, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden; Uppsala Univ, Sweden (författare)
  • The Department of Cardiology, Karolinska Institute, Danderyd Hospital, Danderyd, SwedenKarolinska Inst, Sweden; Danderyd Hosp, Sweden (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:New England Journal of Medicine: Massachusetts Medical Society390:16, s. 1481-14920028-47931533-4406

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