Thrombus Aspiration during ST-Segment Elevation Myocardial Infarction
Why the study?
Does routine thrombus aspiration before PCI reduce 30-day mortality in patients with STEMI?
Population
Patients with ST-Segment Elevation Myocardial Infarction (STEMI)
Comparison
Routine thrombus aspiration before percutaneous… vs PCI alone
Design
RCT
Follow-up
30 days
Authors
Discussion
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Member takes
Implication
Routine thrombus aspiration should not be performed in STEMI; confirms neutral mortality effect and challenges prior routine adoption.
Structured PICO
Does routine thrombus aspiration before PCI reduce 30-day mortality in patients with STEMI?
P
Population
Patients with ST-Segment Elevation Myocardial Infarction (STEMI)
I
Intervention
Routine thrombus aspiration before percutaneous coronary intervention (PCI)
C
Comparator
PCI alone
O
Outcome
30-day mortalityhard clinical
Routine thrombus aspiration prior to PCI does not offer a 30-day mortality benefit for patients presenting with STEMI.
Cite This Study
Fröbert et al. (2013) studied this question.