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©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
Manual aspiration thrombectomy in acute ST elevation myocardial infarction: New gold standard
Brent Rochon, Youssef Chami, Rajesh Sachdeva, Joe K Bissett, Nick Willis, Barry F Uretsky, Department of Medicine, Central Arkansas Veterans Health System, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States
Author contributions: Rochon B and Uretsky B developed the plan of the article and were the primary writers; Chami Y, Sachdeva R and Bissett J contributed to the development and editing of the manuscript; Willis N assisted in data collection and writing the article.
Correspondence to: Barry F Uretsky, MD, Department of Medicine, Central Arkansas Veterans Health System, University of Arkansas for Medical Sciences, 4300 West Seventh Street, Little Rock, AR 72205, United States. buretsky@gmail.com
Telephone: +1-501-2575795 Fax: +1-501-2575796
Received: August 30, 2010
Revised: January 10, 2011
Accepted: January 17, 2011
Published online: February 26, 2011
Revised: January 10, 2011
Accepted: January 17, 2011
Published online: February 26, 2011
Abstract
Percutaneous coronary intervention (PCI) is the preferred method to treat ST segment myocardial infarction (STEMI). The use of thrombus aspiration (TA) may be particularly helpful as part of the PCI process, insofar as the presence of thrombus is essentially a universal component of the STEMI process. This article reviews evidence favoring the routine use of TA, and the limitations of these data. Based on current evidence, we consider TA to be an important maneuver during STEMI PCI, even in the absence of visible angiographic thrombus, and recommend it whenever the presence of thrombus is likely.
Keywords: Aspiration thrombectomy, Myocardial infarction, Guidelines, Thrombus