What is the recommendation for PCI to improve survival in patients with acute STEMI?
PCI to improve survival may be reasonable as an alternative to CABG in selected stable patients with significant (>50% diameter stenosis) unprotected left main CAD with favorable anatomy for PCI and good clinical characteristics that predict an increased risk of adverse surgical outcomes (eg, moderate severe chronic obstructive pulmonary disease, disability from previous stroke, or previous cardiac surgery; STS-predicted risk of operative mortality >2%). For all other patients, CABG is recommended for improved survival.