title: Thrombus aspiration during primary angioplasty for cardiogenic shock.
abstract: We sought to assess the clinical efficacy of thrombus aspiration during primary percutaneous coronary interventions (PCI) in patients presenting with ST-elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS). We retrospectively selected 44 patients with CS out of a population of 842 STEMI patients treated with primary PCI at our Hospital between March 2003 and October 2007. Twenty-six patients died during hospital stay (59.1%, Group 1), whereas the remaining 18 were discharged (40.9%, Group 2). Post-procedural ST-segment resolution was greater (68.0%+/-35.6 vs. 43.0%+/-35.0; p=0.06) and in-hospital mortality was significantly lower (21.4% vs 76.6%; p<0.01) in patients treated by TA as compared to patients undergoing standard PCI. At multivariate logistic regression analysis, TA was the only variable independently associated with survival.
authors.forename: Stefano
authors.initials: S
authors.lastname: Rigattieri
authors.forename: Cristian
authors.initials: C
authors.lastname: Di Russo
authors.forename: Carmine
authors.initials: C
authors.lastname: Musto
authors.forename: Valentina
authors.initials: V
authors.lastname: Schirripa
authors.forename: Pasquale
authors.initials: P
authors.lastname: Silvestri
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Biondi-Zoccai
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ferraiuolo
authors.forename: Paolo
authors.initials: P
authors.lastname: Loschiavo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D003328:Coronary Thrombosis / Q000150:complications / Q000601:surgery*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000401:mortality; D012189:Retrospective Studies; D012770:Shock, Cardiogenic / Q000150:complications* / Q000401:mortality / Q000628:therapy; D017131:Thrombectomy