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DC Field | Value | Language |
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dc.contributor.author | Malaiapan Y. | en |
dc.contributor.author | MacIsaac A. | en |
dc.contributor.author | Meredith I.T. | en |
dc.contributor.author | Ahmar W. | en |
dc.contributor.author | Prasad S.B. | en |
dc.contributor.author | Whitbourn R. | en |
dc.date.accessioned | 2021-05-14T10:33:17Z | en |
dc.date.available | 2021-05-14T10:33:17Z | en |
dc.date.copyright | 2009 | en |
dc.date.created | 20090521 | en |
dc.date.issued | 2012-10-14 | en |
dc.identifier.citation | Catheterization and Cardiovascular Interventions. 73 (3) (pp 301-307), 2009. Date of Publication: 15 Feb 2009. | en |
dc.identifier.issn | 1522-1946 | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/31205 | en |
dc.description.abstract | Background: There is a paucity of data on outcomes in patients undergoing percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) caused by left main stem (LMS) thrombosis. Objective(s): We sought to determine (i) the clinical features, (ii) correlates of early mortality, and (iii) long-term outcomes in contemporary patients undergoing primary PCI for unprotected LMS thrombosis. Method(s): From 1,115 consecutive primary PCI cases at two tertiary referral centers between January 2004 and September 2007, 28 cases (2.5%) with unprotected LMS culprit lesions were identified. Data were obtained from review of institutional databases, folder audit, telephone survey of patients, and independent review of angiograms. Result(s): The mean age of patients was 68 +/- 14 years. Males comprised 76%, and 21% had diabetes. Significant morbidity was noted at presentation: shock in 18 (62%), pulmonary oedema in 15 (52%), and cardiac arrest in 10 (35%) patients, respectively. Lesion location was ostial in 7 (25%), body in 8 (29%), and distal in 13 (46%) patients, respectively. Angiographic success was achieved in 24 patients (83%). Stents were deployed in 27 patients (96%); drug-eluting stents in 11 patients (39%). No patient required in-hospital CABG. Cumulative in-hospital mortality was 36%. Univariate predictors of in-hospital mortality included shock, preceding cardiac arrest, and angiographic failure (all P < 0.05). At a mean follow-up of 26 +/- 12 months in hospital survivors, there were two TVR (elective CABGs), one death, and no reinfarctions. Conclusion(s): We report a lower than previously reported in-hospital mortality of 36% in contemporary patients undergoing primary PCI for unprotected LMS thrombosis. Long-term outcomes in hospital survivors appear favorable. © 2009 Wiley-Liss, Inc. | en |
dc.language | English | en |
dc.language | en | en |
dc.publisher | Wiley-Liss Inc. (111 River Street, Hoboken NJ 07030-5774, United States) | en |
dc.title | Primary percutaneous coronary intervention for acute myocardial infarction caused by unprotected left main stem thrombosis. | en |
dc.type | Article | en |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1002/ccd.21886 | en |
dc.publisher.place | United States | en |
dc.identifier.pubmedid | 19213083 [http://www.ncbi.nlm.nih.gov/pubmed/?term=19213083] | en |
dc.identifier.source | 354569150 | en |
dc.identifier.institution | (Prasad, Malaiapan, Ahmar, Meredith) MonashHeart, Monash Medical Centre, 246 Clayton Road, Melbourne, VIC 3168, Australia (Whitbourn, MacIsaac) St Vincents' Hospital, Victoria Parade, Melbourne, VIC, Australia | en |
dc.description.address | S.B. Prasad, MonashHeart, Monash Medical Centre, 246 Clayton Road, Melbourne, VIC 3168, Australia. E-mail: sprasad@bigpond.net.au | en |
dc.description.publicationstatus | Embase | en |
dc.rights.statement | Copyright 2012 Elsevier B.V., All rights reserved. | en |
dc.subect.keywords | Acute myocardial infarction Left main stem Primary angioplasty | en |
dc.identifier.authoremail | Prasad S.B.; sprasad@bigpond.net.au | en |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.openairetype | Article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
crisitem.author.dept | Cardiology (MonashHeart & Victorian Heart Institute) | - |
Appears in Collections: | Articles |
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