Comparison of Manual Thrombus Aspiration With Rheolytic Thrombectomy in Acute Myocardial Infarction
Why the study?
Does rheolytic thrombectomy reduce residual thrombus burden compared to manual thrombus aspiration in patients with acute myocardial infarction?
Population
80 patients with acute myocardial infarction undergoing infarct artery stenting
Comparison
Rheolytic thrombectomy before infarct artery… vs Manual thrombus aspiration before infarct artery…
Design
RCT, Randomized
Follow-up
6 months
Authors
Discussion
Loading...
Member takes
Implication
Rheolytic thrombectomy is not superior to manual aspiration for residual thrombus reduction; challenges routine mechanical thrombectomy in AMI.
Structured PICO
Does rheolytic thrombectomy reduce residual thrombus burden compared to manual thrombus aspiration in patients with acute myocardial infarction?
P
Population
80 patients with acute myocardial infarction undergoing infarct artery stenting
I
Intervention
Rheolytic thrombectomy (RT) before infarct artery stenting
C
Comparator
Manual thrombus aspiration (MTA) before infarct artery stenting
O
Outcome
Residual thrombus burden by optical coherence tomographysurrogate
Rheolytic thrombectomy did not significantly reduce overall residual thrombus burden by OCT compared to manual aspiration, though it may reduce the incidence of large residual thrombus and improve reperfusion markers.
Cite This Study
Parodi et al. (2013) studied this question.