We sought to assess the clinical efficacy of thrombus aspiration during primary percutaneous coronary interventions (PCI) in patients presenting with ST-elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS). We retrospectively selected 44 patients with CS out of a population of 842 STEMI patients treated with primary PCI at our Hospital between March 2003 and October 2007. Twenty-six patients died during hospital stay (59.1%, Group 1), whereas the remaining 18 were discharged (40.9%, Group 2). Post-procedural ST-segment resolution was greater (68.0% ± 35.6 vs. 43.0% ± 35.0; p = 0.06) and in-hospital mortality was significantly lower (21.4% vs 76.6%; p < 0.01) in patients treated by TA as compared to patients undergoing standard PCI. At multivariate logistic regression analysis, TA was the only variable independently associated with survival. © 2008 Elsevier Ireland Ltd. All rights reserved.
Thrombus aspiration during primary angioplasty for cardiogenic shock / Stefano, Rigattieri; Cristian Di, Russo; Carmine, Musto; Valentina, Schirripa; Pasquale, Silvestri; BIONDI ZOCCAI, Giuseppe; Giuseppe, Ferraiuolo; Paolo, Loschiavo. - In: INTERNATIONAL JOURNAL OF CARDIOLOGY. - ISSN 0167-5273. - 140:1(2010), pp. 111-113. [10.1016/j.ijcard.2008.10.038]
Thrombus aspiration during primary angioplasty for cardiogenic shock
BIONDI ZOCCAI, GIUSEPPE;
2010
Abstract
We sought to assess the clinical efficacy of thrombus aspiration during primary percutaneous coronary interventions (PCI) in patients presenting with ST-elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS). We retrospectively selected 44 patients with CS out of a population of 842 STEMI patients treated with primary PCI at our Hospital between March 2003 and October 2007. Twenty-six patients died during hospital stay (59.1%, Group 1), whereas the remaining 18 were discharged (40.9%, Group 2). Post-procedural ST-segment resolution was greater (68.0% ± 35.6 vs. 43.0% ± 35.0; p = 0.06) and in-hospital mortality was significantly lower (21.4% vs 76.6%; p < 0.01) in patients treated by TA as compared to patients undergoing standard PCI. At multivariate logistic regression analysis, TA was the only variable independently associated with survival. © 2008 Elsevier Ireland Ltd. All rights reserved.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
