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Association of the use of manual thrombus aspiration with intracoronary thrombotic burden in patients with ST segment elevation myocardial infarction in the real world

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dc.creatordel Portillo, Juan Hernandospa
dc.creatorEcheverri, Daríospa
dc.creatorCabrales, Jaimespa
dc.date.accessioned2020-06-11T13:22:21Z
dc.date.available2020-06-11T13:22:21Z
dc.date.created2020spa
dc.description.abstractIntroduction: Although the routine use of manual thrombus aspiration (MTA) in patients with ST-elevation myocardial infarction (STEMI) provides no benefit compared to conventional primary percutaneous coronary intervention (PCI), the use of this technique in the real world could be associated with the intracoronary thrombotic burden. The objective of this study is to evaluate whether the use of MTA is directly related to a high intracoronary thrombotic burden as defined by the Thrombolysis in Myocardial Infarction (TIMI) scale, in patients with STEMI.Methods: Descriptive retrospective study of patients with a diagnosis of STEMI, in whom the use of MTA was assessed according to the coronary thrombus grading.Results: A total of 173 patients were included, with a mean age of 62 years, of whom 78% were male. Manual thrombus aspiration was performed in 52 (30%) of these patients, 98% (51/52) had a high thrombus burden (TIMI thrombus burden grade > 4), compared to 39.6% (48/121) of the patients who did not undergo MTA. Thus, a high thrombus burden was significantly related to the use of MTA (p<0.0001). There were no ischemic stroke or deaths due to cardiovascular causes in the MTA group during hospitalization.Conclusion: A high thrombus burden, as classified by the TIMI scale, was significantly associated with the use of MTA. This technique was not related with any major cardiovascular events. (C) 2019 The Authors. Published by Elsevier B.V.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.ijcha.2019.100436
dc.identifier.issn2352-9067
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/25103
dc.language.isoeng
dc.publisherElsevier Ireland Ltdspa
dc.relation.citationTitleIJC Heart and Vasculature
dc.relation.citationVolumeVol. 26
dc.relation.ispartofIJC Heart and Vasculature, ISSN: 2352-9067, Vol.26, No. (2020); pp. -spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85075751947&doi=10.1016%2fj.ijcha.2019.100436&partnerID=40&md5=1ad0e5674472bbb4e11da2f426d4ec4aspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordArticlespa
dc.subject.keywordClinical practicespa
dc.subject.keywordCohort analysisspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCoronary angiographyspa
dc.subject.keywordCoronary artery thrombosisspa
dc.subject.keywordDisease associationspa
dc.subject.keywordDisease burdenspa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordOutcome assessmentspa
dc.subject.keywordPercutaneous coronary interventionspa
dc.subject.keywordPriority journalspa
dc.subject.keywordRetrospective studyspa
dc.subject.keywordRight coronary arteryspa
dc.subject.keywordSt segment elevation myocardial infarctionspa
dc.subject.keywordThrombus aspirationspa
dc.subject.keywordCoronary angiographyspa
dc.subject.keywordCoronary artery diseasespa
dc.subject.keywordCoronary thrombosisspa
dc.subject.keywordPercutaneous coronary interventionspa
dc.subject.keywordSt elevation myocardial infarctionspa
dc.subject.keywordThrombosisspa
dc.titleAssociation of the use of manual thrombus aspiration with intracoronary thrombotic burden in patients with ST segment elevation myocardial infarction in the real worldspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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