Cardiology
Conditions
Interventions
Primary percutaneous coronary interventions
Primary percutenous coronary intervention
Sponsors
None listed
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients admitted with acute STEMI-CS undergoing primary PCI with: • Culprit LM-proximal LAD and non-culprit proximal dominant RCA/LCX. • Culprit proximal dominant RCA/LCX and non-culprit LM proximal LAD.
Exclusion criteria
Exclusion criteria: Acute STEMI-CS with: • Non-culprit CTO lesions • Non-culprit lesion in non-dominant RCA/LCX. • Non-culprit lesion in mid segment or distal LAD. • Multi-vessel diseases necessitating CABG. • Mechanical complication requiring open heart surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome: Major adverse cardiac events (MACE) (all-cause death, recurrent myocardial infarction, re-hospitalization due to heart failure, or repeat revascularization) in- hospital and at 1month in culprit-only versus immediate multi-vessel PCI in patients with STEMI-CS with large non culprit ischemic territory. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome: To compare outcomes (in-hospital and 1 month) between the 2 groups: A. STEMI-CS with culprit left main/proximal left anterior descending artery (LM-proximal LAD) and non-culprit proximal dominant right coronary artery (RCA)/ left circumflex artery (LCX). B. Culprit RCA/LCX and non-culprit LM-proximal LAD. | — |
Countries
Egypt
Contacts
Public ContactHossam Mohammed
Assiut University
Outcome results
None listed