The thrombotic load of culprit lesion is unidentified in the context of acute myocardial infarction that vindicates the use of thromboaspiration. This work is a substudy of TOTAL in patients underwent OCT before stenting. 214 patients randomized to thromboaspiration or only angioplasty were included.
No differences between groups in plaque load, thrombus absolute volume, or number of quadrants with thrombi were observed. Both groups presented a low thrombus load in the lesion after surgery.
Conclusion
Thrombus load before and after angioplasty was similar among those patients who underwent thromboaspiration and those who not.
T. Sheth
2015-05-20
Original title: Culprit lesion thrombus burden after manual aspiration thrombectomy or PCI alone in STEMI: The OCT Substudy of the TOTAL (ThrOmbecTomy versus PCI Alone) Trial.
