TY - JOUR
T1 - Association of the use of manual thrombus aspiration with intracoronary thrombotic burden in patients with ST segment elevation myocardial infarction in the real world
AU - del Portillo, Juan Hernando
AU - Echeverri, Darío
AU - Cabrales, Jaime
PY - 2020/2/2
Y1 - 2020/2/2
N2 - Introduction:Although the routine use of manual thrombus aspiration (MTA) in patients with ST-elevation myocardial infarction (STEMI) provides no benefit compared to conventional primary percuta-neous coronary intervention (PCI), the use of this technique in the real world could be associated with theintracoronary thrombotic burden. The objective of this study is to evaluate whether the use of MTA isdirectly related to a high intracoronary thrombotic burden as defined by the Thrombolysis inMyocardial Infarction (TIMI) scale, in patients with STEMI.Methods:Descriptive retrospective study of patients with a diagnosis of STEMI, in whom the use of MTAwas assessed according to the coronary thrombus grading.Results:A total of 173 patients were included, with a mean age of 62 years, of whom 78% were male.Manual thrombus aspiration was performed in 52 (30%) of these patients, 98% (51/52) had a high throm-bus burden (TIMI thrombus burden grade > 4), compared to 39.6% (48/121) of the patients who did notundergo MTA. Thus, a high thrombus burden was significantly related to the use of MTA (p<0.0001).There were no ischemic stroke or deaths due to cardiovascular causes in the MTA group during hospital-ization
AB - Introduction:Although the routine use of manual thrombus aspiration (MTA) in patients with ST-elevation myocardial infarction (STEMI) provides no benefit compared to conventional primary percuta-neous coronary intervention (PCI), the use of this technique in the real world could be associated with theintracoronary thrombotic burden. The objective of this study is to evaluate whether the use of MTA isdirectly related to a high intracoronary thrombotic burden as defined by the Thrombolysis inMyocardial Infarction (TIMI) scale, in patients with STEMI.Methods:Descriptive retrospective study of patients with a diagnosis of STEMI, in whom the use of MTAwas assessed according to the coronary thrombus grading.Results:A total of 173 patients were included, with a mean age of 62 years, of whom 78% were male.Manual thrombus aspiration was performed in 52 (30%) of these patients, 98% (51/52) had a high throm-bus burden (TIMI thrombus burden grade > 4), compared to 39.6% (48/121) of the patients who did notundergo MTA. Thus, a high thrombus burden was significantly related to the use of MTA (p<0.0001).There were no ischemic stroke or deaths due to cardiovascular causes in the MTA group during hospital-ization
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U2 - 10.1016/j.ijcha.2019.100436
DO - 10.1016/j.ijcha.2019.100436
M3 - Article
C2 - 31872044
AN - SCOPUS:85075751947
SN - 2352-9067
VL - 26
JO - IJC Heart and Vasculature
JF - IJC Heart and Vasculature
M1 - 100436
ER -
