SCAI Expert Consensus Statement on the Management of Patients With STEMI Referred for Primary PCI

Journal of the Society for Cardiovascular Angiography & Interventions Pub Date : 2024-11-01 DOI:10.1016/j.jscai.2024.102294

Jacqueline E. Tamis-Holland MD, FSCAI (Chair) , J. Dawn Abbott MD, FSCAI , Karim Al-Azizi MD, FSCAI , Nitin Barman MD , Anna E. Bortnick MD, PhD, MSc, FSCAI , Mauricio G. Cohen MD, FSCAI , Payam Dehghani MD, FSCAI , Timothy D. Henry MD, MSCAI , Faisal Latif MD, FSCAI , Mohammad Madjid MD, FSCAI , Celina M. Yong MD, MBA, MSc, FSCAI , Yader Sandoval MD, FSCAI (Co-Chair)

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Abstract

ST-elevation myocardial infarction (STEMI) remains a leading cause of morbidity and mortality in the United States. Timely reperfusion with primary percutaneous coronary intervention is associated with improved outcomes. The Society for Cardiovascular Angiography & Interventions puts forth this expert consensus document regarding best practices for cardiac catheterization laboratory team readiness, arterial access with an algorithm to help determine proper arterial access in STEMI, and diagnostic angiography. This consensus statement highlights the strengths and limitations of various diagnostic and therapeutic interventions to access and treat a patient with STEMI in the catheterization laboratory, reviews different options to manage large thrombus burden during STEMI, and reviews the management of STEMI across the spectrum of various anatomical and clinical circumstances.

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SCAI 专家共识声明：STEMI 患者转诊至初级 PCI 的管理方法

ST段抬高型心肌梗死（STEMI）仍然是美国发病率和死亡率的主要原因。通过经皮冠状动脉介入治疗及时进行再灌注可改善预后。心血管血管造影与介入学会提出了这份专家共识文件，内容涉及心导管室团队准备、动脉通路的最佳实践，以及帮助确定 STEMI 正确动脉通路和诊断性血管造影的算法。本共识声明强调了在导管室对 STEMI 患者进行通路和治疗的各种诊断和治疗干预措施的优势和局限性，回顾了 STEMI 期间处理大血栓负荷的不同选择，并回顾了 STEMI 在各种解剖和临床情况下的处理方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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