Skip to main content
  • Editorial: The Failing Aspirations of Aspiration Thrombectomy in STEMI

    Performing primary percutaneous coronary intervention (PCI) in lesions with heavy thrombus burden during ST-elevation myocardial infarction (STEMI) often causes distal embolization. These thrombotic particles cause mechanical obstruction of the microcirculation and serve as a source of vasoconstrictors and procoagulants contributing to myocardial injury  . These patients frequently have intraprocedural complications such as no-reflow, atrioventricular block, and ventricular dysrhythmias, as well as long-term adverse outcomes. It is important to note that while thrombus embolization is an important mechanism, other factors including ischemic and reperfusion injury may have greater effects on the final infarct size and clinical outcomes  . Secondary to the central role of thrombus in acute myocardial infarction, a major therapeutic strategy has been reducing thrombus burden either pharmacologically or via physical methods. This has led to a proliferation of physical thrombectomy strategies, the simplest and most widely available of which has been aspiration thrombectomy.

This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Review our Privacy Policy for more details