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Instantaneous wave-free ratio-guided revascularization of non-culprit lesion in patients with ST-segment elevation myocardial infarction and multivessel coronary disease: design and rationale of the WAVE Registry
- Source :
- Minerva Cardiology and Angiology. 69
- Publication Year :
- 2021
- Publisher :
- Edizioni Minerva Medica, 2021.
-
Abstract
- BACKGROUND The optimal management of patients with ST-elevation acute coronary syndromes and multivessel coronary artery disease is challenging. There is a growing body of evidence supporting invasive functional evaluation of multivessel disease with FFR or iFR, which it has been added to the literature. In this regard, the WAVE Study recently demonstrated the diagnostic accuracy of instantaneous wave-free ratio (iFR) functional assessment of non-culprit lesions in multivessel patients with STEMI. However, no studies have still verified the long-term clinical impact of an iFR-guided revascularization in this setting of patients. METHODS Patients undergoing primary PCI for STEMI and presenting multivessel disease will be enrolled. After the treatment of the culprit lesion, an iFR-guided functional assessment of non-culprit lesions will be done if iFR≤0.89 PCI will be performed during the index procedure or staged. Conversely, iFR>0.89 will direct the patient towards a conservative approach. RESULTS The study start date was May 1, 2018. The enrollment phase was completed on March 30, 2020. The primary endpoint is the occurrence of target lesion failure (TLF), a composite of cardiovascular death, non-fatal myocardial infarction, and ischemia-driven revascularization of the vessel previously assessed with iFR. Secondary endpoints include MACE (cardiovascular death, non-fatal MI, any revascularization). CONCLUSIONS The aim of the present study was to evaluate the long-term clinical impact of an iFR-guided revascularization of the non-culprit lesions in STEMI patients with multivessel coronary artery disease.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
Myocardial Infarction
Coronary Artery Disease
medicine.disease
Revascularization
Coronary artery disease
Percutaneous Coronary Intervention
Treatment Outcome
Internal medicine
Conventional PCI
medicine
Cardiology
Clinical endpoint
Humans
ST Elevation Myocardial Infarction
ST segment
Registries
cardiovascular diseases
Myocardial infarction
Instantaneous wave-free ratio
Cardiology and Cardiovascular Medicine
business
Mace
Subjects
Details
- ISSN :
- 27245772 and 27245683
- Volume :
- 69
- Database :
- OpenAIRE
- Journal :
- Minerva Cardiology and Angiology
- Accession number :
- edsair.doi.dedup.....da0ab94329dec9f18fc218c04e98c5bd