Unprotected Left Main Percutaneous Coronary Intervention in Acute Coronary Syndromes with Extracorporeal Life Support Backup
Joint Authors
Staudacher, Dawid L.
Langner, Oliver
Biever, Paul
Benk, Christoph
Zehender, Manfred
Bode, Christoph
Wengenmayer, Tobias
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-25
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Left main PCI is superior to coronary bypass surgery in selected patients.
Registry data, however, suggest significant early adverse event rates associated with unprotected left main PCI.
We aimed to evaluate safety of an extracorporeal life support (ECLS) as backup system during PCI.
Methods.
We report a registry study of 16 high-risk patients presenting with acute coronary syndromes undergoing unprotected left main PCI with an ECLS backup.
Results.
Seven patients (43.8%) presented with an acute myocardial infarction while 9 patients (56.3%) had unstable angina.
Unprotected left main PCI could be successfully performed in all 16 patients.
Mortality or thromboembolic event rates were zero within the index hospital stay.
General anesthesia was necessary only in 5 patients (31.3%).
Access site bleeding requiring transfusion was encountered in 4 patients (25.0%).
Three patients (18.8%) developed access site complications requiring surgical intervention.
All patients were ECLS-free after 96 hours.
Conclusions.
Unprotected left main PCI could be safely and effectively performed after ECLS implantation as backup in acute coronary syndromes in our patient collectively.
Vascular access site complications however need to be considered when applying ECLS as backup system.
American Psychological Association (APA)
Staudacher, Dawid L.& Langner, Oliver& Biever, Paul& Benk, Christoph& Zehender, Manfred& Bode, Christoph…[et al.]. 2015. Unprotected Left Main Percutaneous Coronary Intervention in Acute Coronary Syndromes with Extracorporeal Life Support Backup. Scientifica،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076449
Modern Language Association (MLA)
Staudacher, Dawid L.…[et al.]. Unprotected Left Main Percutaneous Coronary Intervention in Acute Coronary Syndromes with Extracorporeal Life Support Backup. Scientifica No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1076449
American Medical Association (AMA)
Staudacher, Dawid L.& Langner, Oliver& Biever, Paul& Benk, Christoph& Zehender, Manfred& Bode, Christoph…[et al.]. Unprotected Left Main Percutaneous Coronary Intervention in Acute Coronary Syndromes with Extracorporeal Life Support Backup. Scientifica. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076449
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076449