Simultaneous kissing stents for the treatment of left main stenosis in cardiogenic shock
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2007; 17 (5): 272-274
in English
| IMEMR
| ID: emr-123088
ABSTRACT
Significant narrowing of the left main coronary artery puts the patient at high risk, since occlusion of this vessel, if unprotected by collateral flow or a patent bypass graft to either the left anterior descending or circumflex artery, compromises flow to approximately 75% of the left ventricle. Percutaneous coronary intervention of left main coronary artery may be the only life saving procedure. There are limited data on the general use of percutaneous intervention [PCI] in patients with acute myocardial infarction [MI] due to left main disease. Small series have noted in-hospital mortality rates of 30 to 35 percent following PCI with or without stenting. Moreover, cardiogenic shock secondary to acute MI, in patients with left main coronary artery disease, carries a very high mortality. Treatment options are limited especially when emergent coronary artery bypass surgery is not an option. We report a case of emergency angioplasty of left main coronary artery with simultaneous kissing stent technique in cardiogenic shock
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Shock, Cardiogenic
/
Cardiac Catheterization
/
Stents
/
Coronary Stenosis
/
Myocardial Infarction
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
J. Coll. Physicians Surg. Pak.
Year:
2007
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