In patients undergoing ST segment elevation myocardial infarction (STEMI) who received primary angioplasty, the strategy of manual thromboaspiration routine does not reduce the risk of cardiovascular death, recurrent infarction, or cardiogenic shock within 180 days compared with standard primary angioplasty with thromboaspiration only if necessary. This work was published simultaneously in The New England Journal of Medicine.

In total included 10732 patients undergoing ST segment elevation myocardial infarction randomized to routine thromboaspiration versus standard angioplasty. At 180 days, mortality was 6.9% for thromboaspiration versus 7% for angioplasty alone. A benefit was observed on the resolution of the ST segment and distal embolization but this did not translate into clinical events.

Jolly SS
2015-03-18

Original title: Trial of Routine Aspiration Thrombectomy With PCI vs. PCI Alone in Patients With STEMI.