Staging for Multi-vessel PCI

Staging for Multi-vessel PCI

1. STEMI

   • 40% to 65% of cases
   • Primary PCI / Rescue PCI
     • Guidelines encourage staging
       • Staging during index admission
       • Staging within 30 days of index procedure
       • Staging after 30 days of index procedure
         • Factors affecting late staging
           • Physician preference
             • Conservative treatment failed
             • Cardiology department practice decisions
           • Logistics
             • Bed availability
             • Cath lab related
             • Patient scheduled for other tests
           • Patient's condition
             • Comorbidites
             • Personal issues

2. NSTEMI/UA

   • 23% of cases (BCIS 2013)
   • Elective PCI
     • No clear guidelines
       • No staging
       • Staging during index admission
       • Staging within 30 days of procedure
       • Staging after 30 days of index procedure