Affordable Access

deepdyve-link
Publisher Website

[Thromboaspiration in the treatment of ST segment elevation myocardial infarction].

Authors
  • Brasselet, C1
  • Duval, S2
  • Leroux, M2
  • Davienne, Y2
  • 1 Unité de cardiologie interventionnelle, polyclinique Courlancy, 38, rue de Courlancy, 51000 Reims, France. Electronic address: [email protected] , (France)
  • 2 Unité de cardiologie interventionnelle, polyclinique Courlancy, 38, rue de Courlancy, 51000 Reims, France. , (France)
Type
Published Article
Journal
Annales de cardiologie et d'angeiologie
Publication Date
Dec 01, 2015
Volume
64
Issue
6
Pages
481–486
Identifiers
DOI: 10.1016/j.ancard.2015.09.063
PMID: 26574135
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

Routine manual thrombectomy during primary percutaneous coronary intervention might be intuitively justified. While older registers reported contradictory results, interventional cardiologists remained interested in using such devices during the mechanical treatment of acute myocardial infarction. The first studies were congruent to demonstrate a significant relationship between thromboaspiration and significant improvement of ST-segment elevation, lower distal embolization, despite TAPAS was the only to significantly reduce the mortality. Later studies were unable to confirm these promising data, avoiding routine manual thrombectomy prior to primary angioplasty to decrease cardiovascular mortality, recurrent myocardial infarction, cardiogenic shock or severe heart failure. Moreover, thrombectomy was associated with an increased rate of stroke. Should thrombectomy therefore be conclusively overlooked? It is presumably required to define which patient is eligible for thrombectomy, to define how to perfectly perform manual thrombectomy, to specify how to gently move towards the thrombus, the optimal pharmacological environment, the number of aspirations and the criterion to stop or to repeat aspiration. Indeed, while thrombectomy is nowadays scientifically downgraded, it remains of potential interest in numerous interventional cardiologists. Copyright © 2015. Published by Elsevier SAS.

Report this publication

Statistics

Seen <100 times