Thrombus aspiration: Suck it up and keep looking for a niche

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.
Source: Catheterization and Cardiovascular Interventions - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Coronary Artery Disease Source Type: research