The rates of direct stenting are higher among patients randomized to thrombus aspiration. The rates of clinical events and myocardial reperfusion did not differ significantly between a direct stenting strategy vs. predilation and stenting, and no interaction was observed as regards thrombus aspiration. Several preliminary studies have emerged from the hypothesis that a direct stenting…
Thrombus Aspiration during Primary PCI Does Not Improve Clinical Outcomes
Thrombus aspiration during primary PCI in ST elevation MI has been extensively used; however, recent studies have questioned its efficacy and safety. This meta-analysis looked into individual patient data to determine the benefit and safety of thrombus aspiration during primary PCI. It included all randomized and controlled studies assessing manual thrombectomy vs. conventional…