| Percutaneous reperfusion of left main coronary disease complicated by acute myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 11979530 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Previous studies have shown a benefit of a strategy of direct angioplasty and stenting in patients with acute myocardial infarction (AMI) complicated by early cardiogenic shock. However, few data exist for the subset of patients with left main trunk disease complicated by AMI and cardiogenic shock. We performed an analysis of patients with AMI who underwent mechanical intervention between January 1995 and December 2000. Out of 1,433 patients with ST segment elevation AMI treated with primary coronary angioplasty (PTCA), 22 patients (1.5%) had left main disease (LMD) as the culprit lesion. Baseline characteristics were age, 66 +/- 11 years; female gender, 9%; diabetes, 14%; previous myocardial infarction, 14%; mean systolic blood pressure, 77 +/- 24 mm Hg; time to treatment, 4.8 +/- 2.2 hr; TIMI 0-1, 77%; collateral flow (Rentrop grade >or= 2) 9%. The primary success rate was 91%. Primary stenting was performed in 17 patients (77%). The in-hospital mortality rate was 50%. All deaths were due to refractory shock. The 6-month survival rate was 41% +/- 1%, while the event-free survival rate was 27% +/- 10%. At 6-month follow-up, the mortality rate increased to 59%; the target vessel revascularization rate was 14%. A percutaneous mechanical intervention strategy in patients with left main disease complicated by AMI is feasible and effective, and patients discharged alive have a good mid-term prognosis. |
| | |
Authors:
|
Roberto Neri; Angela Migliorini; Guia Moschi; Renato Valenti; Emilio Vincenzo Dovellini; David Antoniucci |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 56 ISSN: 1522-1946 ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2002 May |
Date Detail:
|
Created Date: 2002-05-23 Completed Date: 2002-06-28 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
|
Languages: eng Pagination: 31-4 Citation Subset: IM |
Copyright Information:
|
Copyright 2002 Wiley-Liss, Inc. |
Affiliation:
|
Division of Cardiology, Careggi Hospital, Florence, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Angioplasty, Transluminal, Percutaneous Coronary Arteries / surgery Blood Vessel Prosthesis Implantation Coronary Angiography Coronary Disease / complications*, mortality, therapy* Coronary Vessels / surgery Female Follow-Up Studies Hospital Mortality Humans Male Middle Aged Myocardial Infarction / complications*, mortality, therapy* Myocardial Reperfusion* Postoperative Complications / etiology, mortality Recurrence Reoperation Stents Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Short- and long-term results of emergency and elective percutaneous interventions on left main coron...
Next Document: Long-term clinical outcome after implantation of medium Palmaz (biliary) stents in very large native...