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直接PCI(PPCI)是ST段抬高型心肌梗死最有效的再灌注治疗策略。多支病变(MVCD)患者PPCI是否一次性完全血运重建仍然颇具争议。近5年来的临床研究结果证实,部分MVCD患者在PPCI时一次性完全血运重建可能有利。本文回顾了这些研究进展,为PPCI的临床策略选择提供最新的循证医学证据。
Direct PCI (PPCI) is the most effective reperfusion strategy for ST-segment elevation myocardial infarction. It is still controversial whether PPCI is a one-shot complete revascularization in patients with multi-vessel disease (MVCD). The results of clinical studies in the past five years have confirmed that some patients with MVCD may have a one-off complete revascularization during PPCI. This article reviews these advances and provides the latest evidence-based medical evidence for PPCI’s clinical strategy selection.