Deployment of ASD Device

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VSR/Arora/2008POST MI - VSR• Incidence: 2% of AMI have VSR in clinical series(Held et al, 1988)• After thrombolysis incidence is 0.2%, but early within16 hours (GUSTO-I, Circulation, 2000)• 30-day mortality despite intensive medical therapy is80 - 90% (GUSTO-I)• Potentially fatal once cardiogenic shock sets in• Death is usually not immediate: Early aggressiveapproach is very important• ACC/AHA recommends early aggressive surgery(CABG) + VSR repair• Not all candidates are suitable due to hypotension andCHF (compromised situation)
POST MI - VSRVSR/Arora/2008MATERIAL AND METHODS• Total No. of patients = 20• Age range (in years) = 42 – 73• Sex ratio (male / female) = 8 / 12• Cardiogenic shock = 8 (40%)• Site of Infarct Anterior = 14 (70%)Inferior = 6 (30%)• CAG Single Vessel Disease = 14 (70%)Multi Vessel Disease = 6 (30%)Coronary Angioplasty of Infarct related Artery for all& one had primary PTCA prior to VSR
Page 1: VSR/Arora/2008Transcatheter Closure
Page 5 and 6: POST MI - VSRVSR/Arora/2008SITE OF
Page 8 and 9: POST MI - VSRVSR/Arora/2008VSR DEFE
Page 10 and 11: POST MI - VSRVSR/Arora/2008DISTAL D
Page 12 and 13: POST MI - VSRVSR/Arora/2008LV ANGIO
Page 14 and 15: POST MI - VSRVSR/Arora/2008RESULTS
Page 16 and 17: POST MI - VSRVSR/Arora/2008RESIDUAL
Page 18 and 19: POST MI - VSRPROGNOSTIC INDICATORSM
Page 20 and 21: POST MI - VSRVSR/Arora/2008AuthorsD
Page 22 and 23: POST MI - VSRVSR/Arora/2008CONCLUSI

Deployment of ASD Device

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