Revascularization Guidelines Series-STEMI-Culprit and Non-Culprit Intervention

Video Transcription

Video Summary

Dr. Jackie Thames-Holland from Mount Sinai Morningside co-chair of the guidelines discusses culprit versus non-culprit interventionist stemming in a webinar. The guidelines focus on the best mode of revascularization for patients with ST-segment elevation myocardial infarction (STEMI). PCI is recommended for patients presenting with symptoms for less than 12 hours since symptom onset and for patients with cardiogenic shock or hemodynamic instability. The guidelines also suggest considering PCI in patients with failed reperfusion after fibrinolytic therapy. The guidelines highlight the importance of individualizing care and considering various factors in decision-making. In addition, the guidelines discuss the management of the non-infarct artery in STEMI, including the consideration of stage PCI and the use of FFR or IFR guidance. The webinar concludes by mentioning unanswered questions regarding the ideal timing for non-infarct artery intervention, the use of plaque characteristics in decision-making, and the benefits of staged PCI.

Asset Subtitle

Jacqueline Tamis-Holland, MD, FSCAI

Keywords

ST-segment elevation myocardial infarction

PCI

revascularization

individualizing care

non-infarct artery