How to manage chronic total occlusions in the setting of acute myocardial infarction complicated by cardiogenic shock?

Bimmer E. Claessen, Roxana Mehran

Research output: Contribution to journalEditorial

1 Scopus citations

Abstract

An observational study of 313 patients with multivessel disease and ST-segment elevation myocardial infarction complicated by cardiogenic shock showed that the presence of a chronic total occlusion (CTO) in a noninfarct-related artery is an independent predictor of short- and long-term mortality. This study confirms previous reports on the detrimental prognostic impact of a CTO in the setting of acute myocardial infarction with or without cardiogenic shock. Data from recent randomized trials (CULPRIT-SHOCK and EXPLORE) suggest no benefit of early CTO revascularization; further studies are needed to investigate early treatment with extracorporeal membrane oxygenation in this extremely high-risk subgroup.

Original languageEnglish
Pages (from-to)464-465
Number of pages2
JournalCatheterization and Cardiovascular Interventions
Volume92
Issue number3
DOIs
StatePublished - 1 Sep 2018

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