Catheter-based reperfusion of unprotected left main stenosis during an acute myocardial infarction (the ULTIMA experience)

Long-term prognosis of patients with acute myocardial infarction due to unprotected left main coronary artery disease: a single-centre experience over 14 years

“…Due to the high likelihood of cardiogenic shock (CS) as a complication, patients with AMI due to ULMCA disease have a high mortality rate even after successful revascularisation. (1)(2)(3)(4)(5) Studies on the prognosis of these patients, especially in the long term, are rare. In addition, follow-up durations reported in previous published research were short and therefore cannot show the long-term prognosis of these patients.…”

PCI for critically ill STEMI patients with complex anatomy: Another (Nonrandomized) “Brick in the Wall”

“…Intervention, another registry of primary PCI is used as the source for another report of consecutive cases of primary PCI of the ''unprotected" left main [1][2][3]. STEMI, particularly when complicated by shock, pulmonary edema, or ventricular fibrillation, is a quintessence of high-risk physiology [4].…”

Left Main Coronary Artery Thrombus: A Case Series with Different Outcomes

“…Most reported cases of LMCA thrombosis have presented with acute pulmonary edema requiring ventilatory support, AMI (ST/ non-ST segment elevation), cardiac arrest, cardiogenic shock or sudden cardiac death [1][2][3][4][5]27]. In one study, 63% of the 24 patients with LMCA occlusion presented with cardiogenic shock, 42% were intubated and all required IABP [1].…”

“…Left main coronary artery (LMCA) disease with acute myocardial infarction (AMI) has a reported mortality of 40-80% and represents a particularly high-risk subset of patients with AMI [1][2][3][4][5]. Although it might be more common than reported, most of our current knowledge regarding this entity comes from case-reports or small retrospective studies.…”