17
YES
Defer routine
non-culprit
revascularization
YES NO
Non-culprit artery(ies) supplying a
large area of myocardium at risk and
absence of multiple comorbidities
GDMT
Heart Team
discussion
(1)
Routine
revascularization
non-culprit artery
(3: Harm)
NO
Complex multivessel
non-culprit artery
disease
YES NO
Staged PCI of non-
culprit artery(ies)
‡
(1)
Colors correspond to Class of Recommendations and Level of Evidence tables on pages
48–49.
* Normal blood pressure and heart rate le ventricular end-diastolic pressure <20 mmHg,
no chronic renal insufficiency or acute kidney injury, and expected total contrast volume
<3× glomerular filtration rate, simple lesion anatomy.
†
In making the decision about the need for and mode of revascularization the Heart
Team should consider the suitability of the non-culprit artery for PCI, the coronary
complexity and the risk of revascularization, the extent of myocardium at risk, and patient
comorbidities, including life expectancy or other significant patient comorbidities, such as
chronic renal insufficiency or acute kidney injury.
‡
Staged PCI can be performed in hospital or aer discharge, up to 45 days post MI.
