[Coronary stenting in acute myocardial infarction complicated with cardiogenic shock].
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.
Niiazova-Karben
Z A
ZA
Batyraliev
T A
TA
Sidorenko
B A
BA
Preobrazhenskiĭ
D V
DV
Pershukov
I V
IV
Ozgiul
S
S
Sertselik
A
A
Besnili
F
F
Iaalp
M R
MR
Dinler
G
G
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