Early and mid-term clinical outcome of emergency PCI in patients with STEMI due to unprotected left main coronary artery disease

Antonio Parma, Rosario Fiorilli, Francesco De Felice, Francesco Chini, Paolo Giorgi Rossi, Piero Borgia, Marco Stefano Nazzaro, Carmine Musto, Gabriella Guasticchi, Roberto Violini

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)215-222
Number of pages8
JournalJournal of Interventional Cardiology
Volume25
Issue number3
DOIs
Publication statusPublished - Jun 2012

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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