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Titolo:
Elective coronary stent implantation in cardiogenic shock complicating acute myocardial infarction: In-hospital and six-month clinical and angiographic results
Autore:
Fabbiocchi, F; Bartorelli, AL; Montorsi, P; Cozzi, S; Trabattoni, D; Calligaris, G; Loaldi, A;
Indirizzi:
Univ Milan, Fdn Monzino, IRCCS, Inst Cardiol, I-20138 Milan, Italy Univ Milan Milan Italy I-20138 IRCCS, Inst Cardiol, I-20138 Milan, Italy
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 4, volume: 50, anno: 2000,
pagine: 384 - 389
SICI:
1522-1946(200008)50:4<384:ECSIIC>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANGIOPLASTY; SURVIVAL; THERAPY;
Keywords:
cardiogenic shock; acute myocardial infarction; coronary stenting;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Fabbiocchi, F Univ Milan, Fdn Monzino, IRCCS, Inst Cardiol, Via Parea 4, I-20138 Milan, Italy Univ Milan Via Parea 4 Milan Italy I-20138 138 Milan, Italy
Citazione:
F. Fabbiocchi et al., "Elective coronary stent implantation in cardiogenic shock complicating acute myocardial infarction: In-hospital and six-month clinical and angiographic results", CATHET C IN, 50(4), 2000, pp. 384-389

Abstract

Effective treatment of patients with acute myocardial infarction and cardiogenic shock depends on restoring persistent patency of the infarct-relatedartery, Coronary stenting, reducing abrupt or delayed closure related to dissection and suboptimal result, may improve PTCA results in cardiogenic shock. Eighteen patients (14 males and 4 females, mean age 59 +/- 7 years), referred to catheterization laboratory for acute myocardial infarction and shock, had elective stent implantation during 14 primary and 4 rescue PTCA. Time delay between shock onset and PTCA was 4.1 +/- 3 hr (range, 30 min to 12 hr). The IRA was LAD in seven patients (38%), LCx in two (11%), and RCA in eight (45%). One patient (5.%) had distal LMCA occlusion. Stent deployment was successful in 100% of patients and resulted in TIMI 3 flow in 13 (72%) patients. In 13 (72%) cases, cardiogenic shock gradually resolved and the patients were discharged alive. Five patients (28%) died because of irreversible hemodynamic deterioration without evidence of reinfarction. At 6-month follow-up, all the discharged patients were alive and no patient had reinfarction or recurrent angina. Heart transplant was required in one patient 5 months after stenting because of refractory congestive heart failure, Angiography demonstrated patency of all the coronary arteries treated, with TIMI 3 flow in all patients. Stent restenosis rate was 30%, and target lesion revascularization with CABG or re-PTCA was not required in any case, LV function improved from 39% +/- 15% to 51% +/- 15% (P < 0.01). Elective coronary stenting is an effective treatment for acute myocardial infarction complicated by cardiogenic shock and may improve acute and long-term survival. Cathet Cardiovasc. Intervent 50:384-389, 2000. (C) 2000 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 12:14:52