{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:19:15Z","timestamp":1771222755064,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T00:00:00Z","timestamp":1757808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T00:00:00Z","timestamp":1757808000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Current practice for managing acute myocardial infarction complicated by cardiogenic shock (AMI\u2010CS) involves culprit\u2010only revascularization with percutaneous coronary intervention (PCI). However, 50% of these patients present with multi\u2010vessel disease (MVD). In the current era with the availability of more temporary mechanical circulatory support options, the decision to limit PCI to culprit only vessel remains controversial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from Nationwide Readmission Database between 2016 and 2021 was analyzed for patients over 18 years diagnosed with AMI and CS who underwent PCIs and were supported with percutaneous left ventricular assist device (pLVAD) on day 0. Exclusions included patients receiving coronary artery bypass grafting, heart transplant, durable left ventricular assist devices, extracorporeal membrane oxygenation, intra\u2010aortic balloon pump, or with chronic total occlusion. Patients were categorized into culprit vessel only PCI (CV\u2010PCI) and multi\u2010vessel PCI (MV\u2010PCI) groups. The primary outcome was in\u2010hospital mortality. Secondary outcomes included 30\u2010day mortality, 1 year mortality, 30\u2010day readmissions, and acute kidney injury (AKI) requiring dialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      MV\u2010PCI group were older patients (67 vs. 65 years,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) with significantly higher prevalence of hypertension, type 2 diabetes, peripheral vascular disease, stage 5 chronic kidney disease, and atrial fibrillation. Patients undergoing CV\u2010PCI had significantly higher rates of ventricular tachycardia\/fibrillation and cardiac arrest. No significant differences were found in outcomes between the groups, except for a higher rate of access site hematoma in the MV\u2010PCI group (1.5% vs. 0.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In AMI\u2010CS patients with pLVAD support, MV\u2010PCI was not associated with increased in\u2010hospital mortality or AKI requiring dialysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70166","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T04:16:28Z","timestamp":1757909788000},"page":"3193-3200","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Culprit\u2010Only Versus Multi\u2010Vessel PCI With Impella Support in Acute Myocardial Infarction Complicated by Cardiogenic Shock"],"prefix":"10.1002","volume":"106","author":[{"given":"Raj","family":"Patel","sequence":"first","affiliation":[{"name":"University of Massachusetts Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fares","family":"Ghanem","sequence":"additional","affiliation":[{"name":"Division of Cardiology Southern Illinois University School of Medicine Springfield Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soomal","family":"Rafique","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Southern Illinois University School of Medicine Springfield Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"DeMartini","sequence":"additional","affiliation":[{"name":"Division of Cardiology Southern Illinois University School of Medicine Springfield Illinois USA"},{"name":"Midwest Cardiovascular Institute Naperville Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Al","family":"Turk","sequence":"additional","affiliation":[{"name":"Division of Cardiology Southern Illinois University School of Medicine Springfield Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apurva","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nassau University Medical Centre East Meadow New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Moiz","family":"Hafiz","sequence":"additional","affiliation":[{"name":"Division of Cardiology Southern Illinois University School of Medicine Springfield Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-131-1-199907060-00010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000959"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28307"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.18323"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000525"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000351"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2020.08.012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.11.009"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv051"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.3276"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1808788"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1710261"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2312572"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2024.10.032"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001076"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000040595"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.036614"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000336"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.12.038"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2307823"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001038"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2020.08.030"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-019-1073-8"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz896"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001309"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9061976"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2020.09.044"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2024.05.015"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.03.012"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.678748"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.123.029792"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.013870"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70166","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T05:54:37Z","timestamp":1771221277000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,14]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ccd.70166"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70166","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,14]]},"assertion":[{"value":"2025-07-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}