COMPLETE
Complete vs Culprit-Only Revascularisation Strategies
Doente / População Intervenção / Exposição Comparação Desfecho
In 4,041 STEMI patients with multivessel disease, staged complete revascularisation reduced CV death or MI compared with culprit-lesion-only PCI.
N
4041
Desenho
RCT, median 3 yr follow-up
Desfecho
CV death or new MI
Relevância
2
Resultado7.8 % vs 10.5 % (HR 0.74).
Mehta SR, et al. N Engl J Med. 2019;381(15):1411-1421. 10.1056/NEJMoa1907775
Discussão e crítica
Settled a long-running debate. Timing (in-hospital vs ≤ 45 days post-discharge) was non-randomised — both strategies acceptable. Not powered for cardiogenic shock.