title: Percutaneous revascularization in acute myocardial infarction due to left main stem occlusion.
abstract: Following the encouraging results of trials testing the effect of primary percutaneous coronary intervention (PCI) more cases of left main arterial stenosis (LMS) as culprit lesions in acute myocardial infarction (AMI) are being handled. Not many cases of primary PCI on LMS have been published. We present 12 cases of primary PCI on LMS. Eighty-three percent of the patients presented with cardiogenic shock and only 42% were discharged alive. Due to the high rate of cardiogenic shock at presentation, PCI seems to be the treatment of choice, over coronary artery bypass grafting (CABG), although one might consider using PCI as a bridge over to CABG.
authors.affiliation: Department of Cardiology, Rigshospitalet, Copenhagen, Denmark. nvaleur@dadlnet.dk
authors.forename: Nana
authors.initials: N
authors.lastname: Valeur
authors.forename: Anne Louise
authors.initials: AL
authors.lastname: Gaster
authors.forename: Kari
authors.initials: K
authors.lastname: Saunamäki
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000379:methods* / Q000401:mortality*; D015331:Cohort Studies; D017023:Coronary Angiography; D003325:Coronary Care Units; D023921:Coronary Stenosis / Q000150:complications* / Q000175:diagnosis / Q000401:mortality; D003331:Coronary Vessels / Q000473:pathology; D016638:Critical Illness; D003718:Denmark; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D012737:Sex Factors; D012770:Shock, Cardiogenic / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D016019:Survival Analysis; D016896:Treatment Outcome