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Impact of Individual Culprit Coronary Arteries Revascularized by Primary PCI on Clinical Outcomes
Srilakshmi M Adhyapak Prahlad G Menon , Sneha George Kiron Varghese
Catheter Cardiovasc Interv 2025
Background: Studies on outcomes of primary PCI have shown that among patients with STEMI, complete revascularization had better outcomes than culprit vessel PCI alone.
Aims: Data on individual coronary artery PCI is rare. We wanted to see if individual coronary artery PCI had effect on outcomes.
Results: Patients who did not undergo PCI had worst outcomes in terms of mortality and cardiogenic shock. LAD interventions had best outcomes with lesser complication rates. OM interventions had the best safety profile. LCX interventions had more incidence of complications and mortality as compared to LAD and RCA interventions. LCX lesions also had a high SYNTAX score. Branch vessel interventions had an intermediate to high-risk profile.
Conclusions: We found that the clinical outcomes were significantly related to the coronary artery revascularized.