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      Current Considerations of Thrombectomy for Acute Myocardial Infarction

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          Abstract

          Management of thrombus in coronary lesions remains a challenge that is frequently encountered during primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) and is usually associated with poor clinical outcomes. At the same time, the optimum management of such lesions remains a dilemma. Multiple thrombus removal procedures have emerged with the short-term aim of improving myocardial perfusion and a longer-term aim of decreasing the incidence of both major adverse cardiac events (MACE) and all-cause mortality. In this review, we will highlight the main procedures utilized for thrombus removal during primary PCI for STEMI, with particular emphasis on aspiration thrombectomy. We will also approach possible theories that might explain the apparent lack of clinical benefit recently shown with such procedures.

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          Most cited references 50

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          An international randomized trial comparing four thrombolytic strategies for acute myocardial infarction

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            A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke

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                Author and article information

                Journal
                CVIA
                Cardiovascular Innovations and Applications
                CVIA
                Compuscript (Ireland )
                2009-8618
                2009-8618
                May 2016
                July 2016
                : 1
                : 3
                : 265-272
                Affiliations
                1Department of Medicine, University of Florida, Gainesville, FL, USA
                2North Florida/South Georgia Veterans Health System, Gainesville, FL, USA
                Author notes
                Correspondence: Anthony A. Bavry, MD, MPH, North Florida/South Georgia Veterans Health System (Malcom Randall Veterans Administration Medical Center), Medical Service, Cardiology Section (111D), 1601 SW Archer Road, Gainesville, FL 32608, USA, Tel.: +352-273-9076, Fax: +352-846-0314, E-mail: anthony.bavry@ 123456va.gov
                Article
                cvia20160021
                10.15212/CVIA.2016.0021
                Copyright © 2016 Cardiovascular Innovations and Applications

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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