Journal article

Outcomes of thrombus aspiration during primary percutaneous coronary intervention for ST-elevation myocardial infarction

K Rajakariar, N Andrianopoulos, D Gayed, D Liang, B Backhouse, AE Ajani, SJ Duffy, A Brennan, L Roberts, CM Reid, E Oqueli, D Clark, M Freeman

Internal Medicine Journal | Published : 2023

Abstract

Background: Previous large multi-centre randomised controlled trials have not provided clear benefit with routine intracoronary thrombus aspiration (TA) as an adjunct to primary percutaneous coronary intervention (PCI) in patients with ST-elevation myocardial infarction (STEMI). Aim: To determine whether there is a difference in outcomes with the use of manual TA prior to PCI, compared with PCI alone in a cohort of patients with STEMI. Methods: We analysed data from 6270 consecutive patients undergoing primary PCI for STEMI prospectively enrolled in the Melbourne Interventional Group registry between 2007 and 2018. Multivariable analysis was performed to determine predictors of 30-day major ..

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University of Melbourne Researchers