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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2007 June;55(3):391-6

language: English

Primary percutaneous transluminal coronary angioplasty in the setting of multivessel disease

Balbi M., Casalino L., Bezante G., Agosti S., Barsotti A.

Department of Cardiology University of Genoa Genoa, Italy


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Primary percutaneous coronary intervention of the culprit lesion is the treatment of choice for acute myocardial infarction, while treatment of the severe non culprit lesion is not indicated in the guidelines (Class III indication). More aggressive strategies that include initial treatment of the severe non culprit lesion may reduce the incidence of delayed occlusions in specific clinical settings. The two cases we describe support our point of view.

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