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Thrombus aspiration: Suck it up and keep looking for a niche
Author(s) -
Blankenship James C.
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.26822
Subject(s) - medicine , conventional pci , thrombus , culprit , acute coronary syndrome , stenosis , cardiology , stroke (engine) , stent , lesion , radiology , balloon , surgery , myocardial infarction , mechanical engineering , engineering
Key Points Thrombus aspiration in acute coronary syndrome PCI decreased angiographic stenosis and decreased IVUS‐assessed volume of lesions. Decrease in culprit lesion volume correlated with better stent expansion. This non‐randomized single‐center study demonstrated feasibility of thrombus aspiration pre‐PCI in ACS patients, but did not prove superiority to other methods of lesion preparation such as balloon pre‐dilatation. It is unlikely to be adopted into routine practice based on this study. Randomized studies large enough to compare clinical outcomes (e.g., stroke and death) would be necessary to prove the efficacy of thrombus aspiration in ACS patients.