Why the study?
Although not recommended routinely in primary PCI, thrombus aspiration may be effective in selected patients.
Thrombus aspiration, though not routinely recommended in primary PCI, can be a crucial and successful intervention for selected patients with large intracoronary emboli.
May support selective thrombectomy in complex LM thrombus STEMI; leaves open randomized device comparisons.
Though not recommended routinely in primary percutaneous coronary intervention (PCI), thrombus aspiration can be the gamechanger in treatment for selected patient. We report a case in which ST-segment elevation myocardial infarction (STEMI) due to a huge intracoronary saddle embolus in distal left main (LM) was successfully treated with difficult intracoronary thrombectomy. We will discuss the potential strength of different thrombectomy devices which led to the clinical success.
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Shek et al. (2022) studied this question.
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