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Abstract
Background: Routine thrombus aspiration during primary PCI does not improve clinical outcomes. However, the outcomes of manual thrombus aspiration for patients undergoing primary PCI for acute STEMI with high thrombus burden is still unclear. This studyevaluatedthe in - hospitaloutcomes of using manual thrombus aspiration in STEMI patients undergoingprimary PC Iand showing high thrombusburden.
Method: An interventionprospective study was conducted on patients underwent primary pci for acute stemi with high thrombus burden.
Result: 147 STEMI patients with high thrombus burden in coronary angiography divides into thrombus aspiration and PCI (n = 71) or conventional PCI (n = 76). The STsegment resolution and TIMI myocardial perfusion grading (TMP = 3) were significant higher in the aspiration + PCI group compared with the conventional PCI group. In - hospital mortality rate was lower in the aspiration + PCI group compared with the conventional PCI group (10,5% versus 1,4%; p = 0,034). There was no significant differences in the incidence of stroke between two group.
Conclusions: Aspiration thrombectomy in STEMI patient with high thrombus burden improved in - hospital mortality, ST - segment resolution and TIMI myocardial perfusion grading.
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| Published | 07-01-2025 | |
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| Issue | No. 79 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.79.17 | |
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