title: [Coronary stenting in acute myocardial infarction complicated with cardiogenic shock].
abstract: OBJECTIVE
  To assess immediate and long-term results of urgent coronary stenting in patients with cardiogenic shock.
  
  
  METHODS
  Twenty three patients (15 men, 8 women mean age 58-/+12 years) with myocardial infarction and cardiogenic shock treated with vasopressors and intraaortic balloon pumping (IABP). Culprit lesions were localized in left anterior descending and right coronary arteries in 16 and 7 cases, respectively. Prior to stenting 18 and 5 patients had TIMI grade 0 and 1 flow, respectively.
  
  
  RESULTS
  Stents (n=26, Seaquence and Ephesos, length 12-28 mm, diameter 2-3.5 mm) were successfully implanted in all patients after balloon predilation. After stenting TIMI grade 3 flow was achieved in 15 patients, 8 patients had TIMI-2 flow without angiographic signs of dissection or residual stenosis. There were 4 inhospital deaths and 19 patients (83%) were discharged. One angioplasty and 2 coronary artery bypass grafting procedures because of restenosis and reocclusion were successfully performed during first 4 months of follow-up.
  
  
  CONCLUSIONS
  Urgent stenting combined with IABP was effective method of treatment of cardiogenic shock with 83% inhospital survival and 61% freedom from repeat revascularization.
authors.forename: Z A
authors.initials: ZA
authors.lastname: Niiazova-Karben
authors.forename: T A
authors.initials: TA
authors.lastname: Batyraliev
authors.forename: B A
authors.initials: BA
authors.lastname: Sidorenko
authors.forename: D V
authors.initials: DV
authors.lastname: Preobrazhenskiĭ
authors.forename: I V
authors.initials: IV
authors.lastname: Pershukov
authors.forename: S
authors.initials: S
authors.lastname: Ozgiul
authors.forename: A
authors.initials: A
authors.lastname: Sertselik
authors.forename: F
authors.initials: F
authors.lastname: Besnili
authors.forename: M R
authors.initials: MR
authors.lastname: Iaalp
authors.forename: G
authors.initials: G
authors.lastname: Dinler
mesh_terms: D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000601:surgery*; D012189:Retrospective Studies; D012770:Shock, Cardiogenic / Q000209:etiology*; D015607:Stents