AngioJet thrombectomy and stenting for reperfusion in acute MI complicated with cardiogenic shock

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Behzad TaghizadehAugustin DeLago

Abstract

AngioJet thrombectomy (AJ) has been shown to be safe and effective in treatment of acute myocardial infarction (AMI). However, use of AJ has not been studied extensively in AMI with cardiogenic shock (CS). Clinical outcomes in 19 patients with CS and treated with AJ were retrospectively analyzed. Immediate stenting was also performed. Procedure success (final diameter stenosis < 50% and TIMI flow > or = 2) was achieved in 95%, with final TIMI 3 flow in 89%. Clinical success (procedure success without major in-hospital cardiac events) was achieved in 68%. There were five in-hospital deaths and no patients experienced stroke or required emergent bypass surgery. At 30-day follow-up, there were no additional deaths or stroke, and two patients had undergone target vessel revascularization. AJ is relatively safe and effective in the setting of AMI complicated with CS, allowing for immediate definitive treatment. This strategy may offer improved mortality in these high-risk patients.

References

Feb 16, 2005·The American Journal of the Medical Sciences·Robert V KellyGeorge A Stouffer
Nov 27, 2007·International Journal of Cardiology·Ramesh M GowdaIjaz A Khan
Feb 16, 2007·Journal of Interventional Cardiology·Massimo MargheriGian Franco Gensini
Nov 7, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert V KellyGeorge A Stouffer
Aug 23, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Guillaume Marquis-GravelE Magnus Ohman

Citations

Dec 1, 1992·Journal of the American College of Cardiology·J R BengtsonR M Califf
Mar 11, 1992·Journal of the American College of Cardiology·M D HibbardB J Gersh
Mar 1, 1991·Journal of the American College of Cardiology·L LeeW W O'Neill
Feb 1, 1985·Journal of the American College of Cardiology·T A MabinT A Orszulak
Jan 15, 1996·Circulation·C J WhiteR W Smalling
Jun 5, 1997·The New England Journal of Medicine·Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes (GUSTO IIb) Angioplasty Substudy Inv
Apr 6, 1999·The American Journal of Cardiology·N Pérez-CastellanoJ L Delcán
Jul 3, 1999·Annals of Internal Medicine·S M HollenbergJ E Parrillo

Related Concepts

Target Vessel
Stent, Device
Myocardial Infarction
Hospital Mortality
Blood Vessel Prosthesis Implantation
Left Ventricular Function
Thrombectomy
Stenosis (invertebrate)
Stroke Volume
Myocardial Reperfusion

Related Feeds

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.