Percutaneous revascularization in acute myocardial infarction due to left main stem occlusion.

Publisher: Taylor & Francis Country of Publication: England NLM ID: 9708377 Publication Model: Print Cited Medium: Print ISSN: 1401-7431 (Print) Linking ISSN: 14017431 NLM ISO Abbreviation: Scand Cardiovasc J Subsets: MEDLINE

Publication: 2015- : Abingdon, Oxford : Taylor & Francis
Original Publication: Oslo ; Boston : Scandinavian University Press, c1997-

Angioplasty, Balloon, Coronary/*methods ; Angioplasty, Balloon, Coronary/*mortality ; Coronary Stenosis/*complications ; Myocardial Infarction/*diagnosis ; Myocardial Infarction/*therapy ; Shock, Cardiogenic/*therapy; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Cohort Studies ; Coronary Angiography ; Coronary Care Units ; Coronary Stenosis/diagnosis ; Coronary Stenosis/mortality ; Coronary Vessels/pathology ; Critical Illness ; Denmark ; Electrocardiography ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Myocardial Infarction/etiology ; Myocardial Infarction/mortality ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Sex Factors ; Shock, Cardiogenic/etiology ; Shock, Cardiogenic/mortality ; Survival Analysis ; Treatment Outcome

Following the encouraging results of trials testing the effect of primary percutaneous coronary intervention (PCI) more cases of left main arterial stenosis (LMS) as culprit lesions in acute myocardial infarction (AMI) are being handled. Not many cases of primary PCI on LMS have been published. We present 12 cases of primary PCI on LMS. Eighty-three percent of the patients presented with cardiogenic shock and only 42% were discharged alive. Due to the high rate of cardiogenic shock at presentation, PCI seems to be the treatment of choice, over coronary artery bypass grafting (CABG), although one might consider using PCI as a bridge over to CABG.

Comment in: Scand Cardiovasc J. 2005 Apr;39(1-2):6-9. (PMID: 16097407)

Date Created: 20050816 Date Completed: 20050908 Latest Revision: 20220321

20231215

10.1080/14017430510009014

16097410