There are many doubts about the benefit of manual thromboaspiration, not only in terms of improvement of the clinical end point but also the potential risk of stroke. The TOTAL (n = 10732) was a randomized study of routine manual thrombectomy versus angioplasty only in the context of ST segment elevation acute myocardial infarction and<a href="https://solaci.org/en/2015/06/24/total-stroke-increased-risk-of-stroke-with-thromboaspiration/" title="Read more" >...</a>

Fundamentos e objetivos: Em estudos recentes sobre interven&ccedil;&atilde;o coron&aacute;ria percut&acirc;nea prim&aacute;ria (PPCI), a bivalirudina em compara&ccedil;&atilde;o com a heparina tem sido associada ao aumento do risco de trombose de stent (ST), com taxas relatadas de ST muito vari&aacute;veis. O objetivo deste estudo foi descrever a incid&ecirc;ncia de &ldquo;mundo real&rdquo; e os resultados de ST definitiva,<a href="https://solaci.org/en/2015/06/24/taxas-de-trombose-de-stent-em-pacientes-com-stemi-2/" title="Read more" >...</a>

Myocardial blush is a predictor of mortality after primary angioplasty. Small studies showed a degree of improvement blush with manual thromboaspiration. The present work is a substudy of the TOTAL where thromboaspiration Export&reg; catheter (Medtronic cardiovascular, Santa Rosa, CA) was assessed and compared to angioplasty without thromboaspiration. A total of 1610 patients were included, (791<a href="https://solaci.org/en/2015/06/24/angiographic-total-sub-angiography-studio-of-total/" title="Read more" >...</a>

The main predictor of adverse outcomes (thrombosis and restenosis) after implantation of a stent is the degree of expansion according to published studies using coronary intravascular ultrasound (IVUS). It is unknown whether optical coherence tomography (OCT), in this sense, provides similar information as the IVUS. The aim of this study was to compare the degree<a href="https://solaci.org/en/2015/06/24/ilumien-ii-oct-guided-stenting-versus-ivus/" title="Read more" >...</a>

A bioabsorbable platform implant in the context of ST segment elevation acute myocardial infarction is feasible although the subsequent cicatrization of the artery is not documented. The objective of this work was to evaluate optical coherence tomography (OCT) in patients who received everolimus-releasing bioabsorbable platform in the context of primary angioplasty. A total of 39<a href="https://solaci.org/en/2015/06/24/bvs-stemi-first-oct-study-bioabsorbable-platform-in-acute-myocardial-infarction/" title="Read more" >...</a>

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<a href="https://solaci.org/en/2015/06/24/total-oct-thrombotic-load-of-culprit-lesion-using-oct-total-substudy/" title="Read more" >...</a>

This work included 18144 patients from 39 countries that were admitted pursuing an acute coronary syndrome (with or without ST segment elevation) randomized 1: 1 to receive the combination of simvastatin 40 mg / ezetimibe 10 mg (n = 9067) or simvastatin 40 mg alone (n = 9077). Of the total, 88% received a coronary<a href="https://solaci.org/en/2015/06/24/improve-it-the-combination-simvastatin-ezetimibe-reduces-post-sca-events/" title="Read more" >...</a>