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TCT 2017: Fewer Stents Are Better Than More For Initial AMI-With-Shock Treatment

 
• By Reed Miller

Results of the CULPRIT-SHOCK trial presented at the Transcatheter Cardiovascular Therapeutics conference in Denver confirm that patients with acute myocardial infarction complicated by cardiogenic shock are better off treated with culprit-lesion-only percutaneous coronary intervention rather than multivessel stenting, which is currently recommended in the European guidelines.

Colorado Convention Center_1200
Colorado Convention Center, site of TCT 2017 • Source: Arina P Habich/Shutterstock

Fewer stents are better than more for the initial treatment of patients with multivessel coronary disease suffering an acute myocardial infarction (AMI) complicated by cardiogenic shock, according to new randomized trial results. Existing professional guidelines are likely to change due to the findings, which were presented Oct. 30 at the Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium in Denver and simultaneously published in The New England Journal of Medicine.

Results from the randomized, 706-patient CULPRIT-SHOCK trial showed that initially approaching these difficult-to-treat patients with culprit-lesion-only percutaneous coronary intervention (PCI) – stenting just the vessel causing the AMI...

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