Adjunctive Thrombectomy and Distal Protection in Primary Percutaneous Coronary Intervention
Why the study?
Does adjunctive mechanical thrombectomy and embolic protection improve outcomes in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention?
Population
Patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention
Comparison
Adjunctive mechanical thrombectomy and embolic… vs Standard primary percutaneous coronary…
Design
Review
Authors
Discussion
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Member takes
Implication
May support aspiration thrombectomy in primary PCI for STEMI; leaves open need for confirmatory trials.
Structured PICO
Does adjunctive mechanical thrombectomy and embolic protection improve outcomes in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention?
P
Population
Patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention
I
Intervention
Adjunctive mechanical thrombectomy and embolic protection devices
C
Comparator
Standard primary percutaneous coronary intervention
O
Outcome
Surrogate and clinical end points (including infarct size, ventricular arrhythmias, heart failure, cardiogenic shock, recurrent myocardial infarction, and death)
This review summarizes evidence suggesting that adjunctive aspiration thrombectomy during primary PCI for STEMI may improve clinical and surrogate outcomes by reducing distal microembolization.
Cite This Study
Srinivasan et al. (2009) studied this question.