Outcomes of primary percutaneous coronary intervention for acute myocardial infarction with unprotected left main coronary artery occlusion

Abstract

Despite performance of primary PCI, patients with AMI due to LMCA occlusion were associated with >50% in-hospital mortality. Hemodynamic deficit upon arrival was the major determinant of their poor hospital outcomes. The hospital survivors, however, were associated with favorable long-term outcomes.

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

“…In Izumikawa et al's study of the long-term prognosis of LMCA occlusion patients after emergency PCI, Kaplan-Meier analysis showed the total cumulative survival rate during follow-up to be 26.2% and that of shock patients to be 21.1%. (2) The results of the current study were similar: the overall mortality rate was 52.7% (n = 29), while the total cumulative survival rate for all patients was 30.7% and that of patients with CS was only 21.0%, suggesting a poor long-term prognosis for patients with CS.…”

“…(2,5) Similarly, Gagnor et al also reported that the rate of adverse events in patients after discharge was low. (6) However, the Kaplan-Meier survival curve did not show similar results in the present study.…”

“…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.…”

A szívinfarktusért felelős ér prognosztikus jelentőségének vizsgálata ST-elevációs szívinfarktusos betegekben

“…A különbség döntően az 1 hónap alatt bekövetkező halálesetekből adódott. Számos egyéb tanulmány hasonló adatokat közölt [14][15][16]. Chen és mtsai …”

Is Extracorporeal Membrane Oxygenator a New Weapon to Improve Prognosis in Patients With Profound Cardiogenic Shock Undergoing Primary Percutaneous Coronary Intervention?

“…32, [43][44][45] In this review, we will describe and interpret the clinical value of IABP support for CS and the potential role of ECMO-supported primary PCI in patients with profound CS.…”