Thrombus aspiration during primary angioplasty for cardiogenic shock
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 po...
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Published in | International journal of cardiology Vol. 140; no. 1; pp. 111 - 113 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Shannon
Elsevier Ireland Ltd
01.04.2010
Elsevier |
Subjects | |
Online Access | Get full text |
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Summary: | 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. |
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Bibliography: | SourceType-Other Sources-1 content type line 63 ObjectType-Correspondence-1 |
ISSN: | 0167-5273 1874-1754 |
DOI: | 10.1016/j.ijcard.2008.10.038 |