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Table 1 Characteristics of included studies

From: Complete versus culprit-only revascularization in patients with ST-segment elevation myocardial infarction and multivessel disease: a meta-analysis of randomized trials

Study

Multivessel disease definition

MACE definition

Definition of complete revascularization

Timing of staged complete revascularization

Follow-up (months)

COMPARE-ACUTE 2017 [7]

IRA plus non-IRA or their major side branches of at least 2.0 mm diameter show ≥50% stenosis by QCA or visual assessment

All-causemortality, nonfatal MI, any revascularization, cerebrovascular events

Non-IRAs with at least 50% stenosis and who had a FFR ≤0.80 were revascularized with Everolimus DES

Within 3 days

12

Hamza et al. 2016 [10]

IRA plus at least 80% stenosis in non-IRA

Composite of all- cause mortality, recurrent MI, ischemia driven revascularization with PCI or CABG

N-IRAs with at least 80% stenosis were revascularized.

Within 3 days

6

DANAMI-3- PRIMULTI 2015 [6]

IRA plus > 50% stenosis in one or more non-IRA

Composite of all- cause mortality, reinfarction, or ischemia driven revascularization of non–IRA

Non-IRAs which were ≥ 2 mm in diameter with at least 50% stenosis and FFR < 0.8 or those with visually

Estimated stenosis> 90% stenosis were treated with everolimus DES.

Within 2 days

27

PRAGUE − 132,015 [11]

at least 1 stenosis of non-IRA > 70% with diameter > 2.5 mm

All cause mortality, non- fatal MI and stroke.

NA

3–40 days

38

CvLPRIT 2015 [12]

IRA plus at least one non-IRA with at least one lesion> 70% single view/50% in two views

All-cause mortality, MI,HF, ischemia driven PCI OR CABG

Non-IRAs with at least > 70% stenosis in one view or > 50% stenosis in two views were revascularized with DES

Within 3 days

12

PRAMI 2013 [13]

IRA plus one or more non-IRA > 50% stenosis

Composite of death from cardiac cause, nonfatal MI, refractory angina.

Non-IRA stenoses > 50% were intervened

At the same procedure

23

Ghani et al. 2012 [14]

One or more stenoses of ≥50% (in at least one view visually or by QCA) in at least two major epicardial coronary arteries

Death, nonfatal reinfarction, unplanned revascularization

Vessel with significant stenosis vascularized if FFR < 0.75. For severe stenosis (> 90%) PCI performed without preceding FFR.

Within 3 weeks after STEMI

36

Politi et al. 2010 [15]

> 70% stenosis of at least two epicardial coronary arteries or their major branches

Death, reinfarction, rehospitalization for ACS and repeat coronary revascularization

Non-IRAs with PCI and angiographic residual stenosis of < 30% or TIMI flow grade of 3

56.8 ± 12.9 days

30

HELP AMI 2004 [16]

IRA plus at least 1–3 lesions in major non-IRA

Death, repeat MI, urgent revascularization

All suitable non-IRAs with heparin coated Bx velocity stents. Balloon dilatation alone was performed for lesions in vessels with diameter < 2.5 mm provided at least one non-IRA was treated with stents.

At the same procedure

12

  1. IRA infarct-related artery only, QCA quantitative coronary angiography, MACE major adverse cardiac events, MI myocardial infarction, ACS acute coronary sydrome, PCI percutaneouscoronary intervention, CABG coronary artery bypass grafting, FFR fractional flow reserve, TIMT thrombolysis in myocardial infarction