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Our aspirations still disappoint
Author(s) -
Butman Samuel M.
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26485
Subject(s) - medicine , mace , randomized controlled trial , stroke (engine) , percutaneous coronary intervention , intervention (counseling) , adjunct , cardiology , myocardial infarction , mechanical engineering , linguistics , philosophy , psychiatry , engineering
Key Points Routine thrombectomy during coronary intervention for STEMI is not supported by two large prospective randomized trials. Occasional case‐specific clot removal, while appealing, remains an unproven adjunct to primary stenting during STEMI therapy. While early MACE events may be lower, during follow‐up, there is a higher risk of stroke in patients who undergo thrombectomy.