Results from the PRAMI trial indicate that STEMI patients who undergo immediate PCI for the artery that caused the infarct may have a better prognosis if preventive PCI is performed on other diseased arteries at the same time, according to study results released at the European Society of Cardiology meeting and online in the New England Journal of Medicine. Patients were 65% less likely to experience chest pains or another heart attack or to die if multiple coronary arteries were treated with PCI during emergency surgery, according to the study. "I think this study is pivotal," said Dr. Ted Bass, SCAI president. "The rationale behind that is, the patient is already quite sick, and any time we go to another blood vessel and try to fix a blockage, there is a small likelihood things could go wrong."
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