Tamis-Holland Jacqueline E, Abbott J Dawn, Al-Azizi Karim, Barman Nitin, Bortnick Anna E, Cohen Mauricio G, Dehghani Payam, Henry Timothy D, Latif Faisal, Madjid Mohammad, Yong Celina M, Sandoval Yader
Cleveland Clinic Heart, Vascular & Thoracic Institute, Cleveland, Ohio.
Lifespan Cardiovascular Institute, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
J Soc Cardiovasc Angiogr Interv. 2024 Oct 7;3(11):102294. doi: 10.1016/j.jscai.2024.102294. eCollection 2024 Nov.
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.
ST段抬高型心肌梗死（STEMI）仍是美国发病和死亡的主要原因。通过直接经皮冠状动脉介入治疗及时进行再灌注可改善预后。心血管造影与介入学会发布了这份专家共识文件，内容涉及心脏导管室团队准备的最佳实践、采用一种算法进行动脉穿刺以帮助确定STEMI患者的合适动脉穿刺部位，以及诊断性血管造影。本共识声明强调了在导管室中用于评估和治疗STEMI患者的各种诊断和治疗干预措施的优势和局限性，回顾了STEMI期间处理大量血栓负荷的不同选择，并探讨了在各种解剖和临床情况下STEMI的管理。
