Should the practicing interventionalist use manual aspiration systematically in all patients or only in selected patients with an angiographically obvious thrombotic burden?

Gollop, Nicholas D and Murray, Philip J (2013) Should the practicing interventionalist use manual aspiration systematically in all patients or only in selected patients with an angiographically obvious thrombotic burden? Interactive Cardiovascular and Thoracic Surgery, 17 (4). pp. 731-735. ISSN 1569-9285

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Abstract

A best-evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, should the practicing interventionalist use manual aspiration systematically in all patients undergoing percutaneous coronary intervention (PCI) or only in selected patients with an angiographically obvious thrombotic burden? Altogether, 198 papers were found using the reported search, of which nine represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude that the evidence demonstrates that clinical and angiographic outcomes with respect to manual thrombectomy are similar and encouraging for patients with both angiographic evidence of thrombus burden and those in whom it is used routinely. In addition, there is no significant increase in major adverse cardiac events when routine use of manual aspiration is adopted as opposed to reserving its use for those patients with angiographic evidence of thrombus. In summary, the evidence supports the use of routine systematic manual aspiration in all patients undergoing primary PCI for ST-elevation myocardial infarction.

Item Type: Article
Uncontrolled Keywords: benchmarking,coronary angiography,coronary thrombosis,evidence-based medicine,humans,myocardial infarction,patient selection,percutaneous coronary intervention,predictive value of tests,severity of illness index,suction,thrombectomy,treatment outcome,manual aspiration,angiographically thrombotic burden,cardiology,heart diseases,review
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 24 Jul 2015 22:55
Last Modified: 22 Apr 2020 00:16
URI: https://ueaeprints.uea.ac.uk/id/eprint/53754
DOI: 10.1093/icvts/ivt295

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