Research Article
Primary Angioplasty in a Catastrophic Presentation: Acute Left Main Coronary Total Occlusion—The ATOLMA Registry
Table 2
Treatment and procedural characteristics.
| | | Overall (n = 46) | In-hospital mortality | | Yes (n = 27) | No (n = 19) | |
| | Orotracheal intubation | 31 (67.4) | 23 (85) | 7 (37) | 0.06 | | Ventricular assistance device | 21 (45.6) | 11 (40) | 10 (53) | 0.4 | | IABP | 20 (43.5) | 11 (41) | 9 (47.4) | 0.65 | | ECMO | 3 (6.5) | 0 (0) | 3 (15.8) | 0.06 | | CPR | 31 (67.4) | 21 (78) | 10 (53) | 0.07 | | GP IIa/IIIb inhibitors | 22 (47.8) | 12 (44) | 15 (56) | 0.2 | | Vasoactive drugs | 41 (89.2) | 25 (96) | 15 (79) | 0.07 |
| | Angioplasty | | | | | | Angiographic success | 37 (80.4) | 18 (67) | 19 (100) | <0.001 | | Radial approach | 16 (34.8) | 6 (22) | 10 (53) | 0.03 | | Seven French catheter | 8 (17.4) | 2 (7) | 6 (32) | 0.05 | | LM stent deployed | 32 (69.6) | 15 (56) | 17 (90) | 0.01 | | LM bare metal stent | 7 (21.8) | 2 (13) | 5 (30) | 0.4 | | LM stent diameter (mm) | 3.5 ± 0.4 | 3.5 ± 0.5 | 3.5 ± 0.2 | 1 | | Complex LM technique | 6 (13) | 3 (11) | 3 (16) | 0.7 | | LM stent predilation | 15/32 (47) | 10 (67) | 13 (77) | 0.7 | | LM stent postdilation | 15/32(47) | 7 (47) | 8 (47) | 1 | | Thrombus aspiration | 19 (41.7) | 13 (48) | 6 (32) | 0.2 | | Intracoronary imaging | 5 (10.9) | 1 (4) | 4 (21) | 0.14 | | Contrast volume (ml) | 177 ± 132 | 189 ± 161 | 161 ± 87 | 0.6 | | Final TIMI flow | 2.2 ± 0.3 | 1.78 ± 0.4 | 2.8 ± 0.2 | <0.001 | | Final TIMI flow 3 | 23 (50) | 8 (30) | 19 (70) | 0.001 |
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IABP: intra-aortic balloon pump; ECMO: extracorporeal membrane oxygenation; CPR: cardiopulmonary resuscitation; LM: left main.
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