Special Article 2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions Endorsed by the Latin American Society of Interventional Cardiology PCI WRITING COMMITTEE* Glenn N. Levine, MD, FACC, FAHA, Chair, Eric R. Bates,* MD, FACC, FAHA, FSCAI, Vice Chair, James C. Blankenship,* MD, FACC, FAHA, FSCAI, Vice Chair, Steven R. Bailey,* MD, FACC, FSCAI, John A. Bittl, MD,FACC, Bojan Cercek, MD, FACC, FAHA, Charles E. Chambers, MD, FACC, FSCAI, Stephen G. Ellis,* MD, FACC, Robert A. Guyton, MD, FACC, Steven M. Hollenberg,* MD, FACC, Umesh N. Khot,* MD, FACC, Richard A. Lange, MD, FACC, FAHA, Laura Mauri,* MD, MSc, FACC, FSCAI, Roxana Mehran,* MD, FACC, FAHA, FSCAI, Issam D. Moussa, MD, FACC, FAHA, FSCAI, Debabrata Mukherjee, MD, FACC, FAHA, FSCAI, Henry H. Ting, MD, FACC, FAHA, STEMI WRITING COMMITTEE* Patrick T. O Gara, MD, FACC, FAHA, Chair, Frederick G. Kushner, MD, FACC, FAHA, FSCAI, Vice Chair, Deborah D. Ascheim,|| MD, FACC, Ralph G. Brindis, MD, MPH, MACC, FSCAI, FAHA, Donald E. Casey Jr, MD, MPH, MBA, FAHA, Mina K. Chung,* MD, FACC, FAHA, James A. de Lemos,* MD, FACC, Deborah B. Diercks,# MD, MSc, James C. Fang,* MD, FACC, FAHA, Barry A. Franklin, PhD, FAHA, Christopher B. Granger,* MD, FACC, FAHA, Harlan M. Krumholz,* MD, SM, FACC, FAHA, Jane A. Linderbaum, MS, CNP-BC, David A. Morrow,* MD, MPH, FACC, FAHA, L. Kristin Newby,* MD, MHS, FACC, FAHA, Joseph P. Ornato,* MD, FACC, FAHA, FACP, FACEP, Narith Ou, PharmD, Martha J. Radford, MD, FACC, FAHA, Jacqueline E. Tamis-Holland, MD, FACC, FSCAI, Carl L. Tommaso, MD, FACC, FAHA, MSCAI, Cynthia M. Tracy, MD, FACC, FAHA, Y. Joseph Woo, MD, FACC, FAHA, David X. Zhao,* MD, FACC, V C 2016 Wiley Periodicals, Inc. Catheterization and Cardiovascular Interventions 87:1001 1019 (2016) ACC/AHA TASK FORCE MEMBERS* Jonathan L. Halperin, MD, FACC, FAHA, Chair, Glenn N. Levine, MD, FACC, FAHA, Chair-Elect, Jeffrey L. Anderson,** MD, FACC, FAHA, Immediate Past Chair, Nancy M. Albert,** PhD, RN, FAHA, Sana M. Al-Khatib, MD, MHS, FACC, FAHA, Kim K. Birtcher, PharmD, MS, AACC, Biykem Bozkurt, MD, PhD, FACC, FAHA, Ralph G. Brindis, MD, MPH, MACC, Joaquin E. Cigarroa, MD, FACC, Lesley H. Curtis, PhD, FAHA, Lee A. Fleisher, MD, FACC, FAHA, Federico Gentile, MD, FACC, Samuel Gidding, MD, FAHA, Mark A. Hlatky, MD, FACC, John Ikonomidis, MD, PhD, FAHA, Jose Joglar, MD, FACC, FAHA, Richard J. Kovacs,** MD, FACC, FAHA, E. Magnus Ohman,** MD, FACC, Susan J. Pressler, PhD, RN, FAHA, Frank W. Sellke,** MD, FACC, FAHA, Win-Kuang Shen,** MD, FACC, FAHA, and Duminda N. Wijeysundera, MD, PhD Table of Contents 1.1. 