Abstract
Objectives: Evaluation of acute and mid-term outcomes of patientswith ST-elevationmyocardial infarction (STEMI) undergoing emergency PCI due to unprotected left main coronary artery (ULMCA) disease. Background: STEMI patients due to ULMCA disease represent a rare, high risk group. Percutaneous coronary intervention (PCI) may be the preferred strategy of myocardial revascularization but there are few data about this topic. Methods: We analyzed 30-day and mid-term mortality of 58 patients with STEMI and ULMCA disease as culprit lesion treated in our centre by emergency PCI between 2000 to 2010. Results: Mean age was 67.3 ± 11.5 years. Thirty (51.7%) patients had cardiogenic shock on admission. PCI success was achieved in 54 patients (93.1%). Mean follow-up was 15.8 ± 10.9 months (median 14, range 6-45). Thirty-day and mid-term mortality rates were 39.7% and 44%. Backward binary logistic regression model identified cardiogenic shock at presentation (OR 12.6, 95% CI 2.97-53.6, P <0.001), age ≥75 years (OR 5.9, 95% CI 1.3-26.5, P = 0.019) and post-PCI TIMI flow grade
| Original language | English |
|---|---|
| Pages (from-to) | 215-222 |
| Number of pages | 8 |
| Journal | Journal of Interventional Cardiology |
| Volume | 25 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 2012 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Radiology Nuclear Medicine and imaging
Cite this
Early and mid-term clinical outcome of emergency PCI in patients with STEMI due to unprotected left main coronary artery disease. / Parma, Antonio; Fiorilli, Rosario; De Felice, Francesco; Chini, Francesco; Rossi, Paolo Giorgi; Borgia, Piero; Nazzaro, Marco Stefano; Musto, Carmine; Guasticchi, Gabriella; Violini, Roberto.
In: Journal of Interventional Cardiology, Vol. 25, No. 3, 06.2012, p. 215-222.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Early and mid-term clinical outcome of emergency PCI in patients with STEMI due to unprotected left main coronary artery disease
AU - Parma, Antonio
AU - Fiorilli, Rosario
AU - De Felice, Francesco
AU - Chini, Francesco
AU - Rossi, Paolo Giorgi
AU - Borgia, Piero
AU - Nazzaro, Marco Stefano
AU - Musto, Carmine
AU - Guasticchi, Gabriella
AU - Violini, Roberto
PY - 2012/6
Y1 - 2012/6
N2 - Objectives: Evaluation of acute and mid-term outcomes of patientswith ST-elevationmyocardial infarction (STEMI) undergoing emergency PCI due to unprotected left main coronary artery (ULMCA) disease. Background: STEMI patients due to ULMCA disease represent a rare, high risk group. Percutaneous coronary intervention (PCI) may be the preferred strategy of myocardial revascularization but there are few data about this topic. Methods: We analyzed 30-day and mid-term mortality of 58 patients with STEMI and ULMCA disease as culprit lesion treated in our centre by emergency PCI between 2000 to 2010. Results: Mean age was 67.3 ± 11.5 years. Thirty (51.7%) patients had cardiogenic shock on admission. PCI success was achieved in 54 patients (93.1%). Mean follow-up was 15.8 ± 10.9 months (median 14, range 6-45). Thirty-day and mid-term mortality rates were 39.7% and 44%. Backward binary logistic regression model identified cardiogenic shock at presentation (OR 12.6, 95% CI 2.97-53.6, P <0.001), age ≥75 years (OR 5.9, 95% CI 1.3-26.5, P = 0.019) and post-PCI TIMI flow grade
AB - Objectives: Evaluation of acute and mid-term outcomes of patientswith ST-elevationmyocardial infarction (STEMI) undergoing emergency PCI due to unprotected left main coronary artery (ULMCA) disease. Background: STEMI patients due to ULMCA disease represent a rare, high risk group. Percutaneous coronary intervention (PCI) may be the preferred strategy of myocardial revascularization but there are few data about this topic. Methods: We analyzed 30-day and mid-term mortality of 58 patients with STEMI and ULMCA disease as culprit lesion treated in our centre by emergency PCI between 2000 to 2010. Results: Mean age was 67.3 ± 11.5 years. Thirty (51.7%) patients had cardiogenic shock on admission. PCI success was achieved in 54 patients (93.1%). Mean follow-up was 15.8 ± 10.9 months (median 14, range 6-45). Thirty-day and mid-term mortality rates were 39.7% and 44%. Backward binary logistic regression model identified cardiogenic shock at presentation (OR 12.6, 95% CI 2.97-53.6, P <0.001), age ≥75 years (OR 5.9, 95% CI 1.3-26.5, P = 0.019) and post-PCI TIMI flow grade
UR - http://www.scopus.com/inward/record.url?scp=84862252561&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84862252561&partnerID=8YFLogxK
U2 - 10.1111/j.1540-8183.2011.00712.x
DO - 10.1111/j.1540-8183.2011.00712.x
M3 - Article
C2 - 22360543
AN - SCOPUS:84862252561
VL - 25
SP - 215
EP - 222
JO - Journal of Interventional Cardiology
JF - Journal of Interventional Cardiology
SN - 0896-4327
IS - 3
ER -