1. Mancini JG, et al. Am J Cardiol.
Meta-analysis of the Long-Term Effect of Routine Aspiration Thrombectomy in Primary PCI Patients
18 studies of > 20,000 STEMI patients with follow-up of at least 6 months.
Outcomes at Longest Follow-Up: Routine Thrombectomy vs Primary PCI Alone RR
95% CI
All-Cause Mortality
0.92
Stroke
1.59
ST-Segment Resolution
1.22
Myocardial Blush Grade 3
1.30
Conclusion: Data confirm there is no clinical benefit with routine aspiration thrombectomy in primary PCI and points to a possible increase in stroke risk.
Mancini JG, et al. Am J Cardiol.
2016;Epub ahead of print.