Impact of thrombus aspiration use and direct stenting on final myocardial blush score in patients presenting with ST-elevation myocardial infarction

Manual Aspiration Thrombectomy in Acute Myocardial Infarction: A Clinical Experience

“…The present study is one of the few studies [13][14][15][16][17] which describe the role of routine thrombectomy on enzymatic infarction size, reinfarction, and mortality in a relatively large cohort of unselected STEMI patients who underwent PCI. In our retrospective cohort, we observed that patients with anterior wall myocardial infarction and hemodynamic instability were more likely to undergo mechanical thrombectomy during primary PCI.…”

Thrombus aspiration in primary percutaneous coronary intervention: still a valid option with improved technique in selected patients!

“…Furthermore, in the thrombus aspiration group a higher frequency of direct stenting (39.5% vs. 21.1%, P<0.001) and lower use of glycoprotein IIb/IIIa inhibitors (32.3% vs. 35.1%, P<0.001) was recorded. Thrombus aspiration has been consistently shown to affect procedural strategies in terms of balloon dilatation and stent selection (4,6,8,15,16). In particular, it is associated with higher rate of direct stenting, lower rate of post-dilatation, with the implantation of less stents but of larger size as compared with conventional PCI (15,16).…”

“…Thrombus aspiration has been consistently shown to affect procedural strategies in terms of balloon dilatation and stent selection (4,6,8,15,16). In particular, it is associated with higher rate of direct stenting, lower rate of post-dilatation, with the implantation of less stents but of larger size as compared with conventional PCI (15,16). Whether these technical differences in PCI might have a substantial impact on clinical outcome is still controversial (17,18).…”