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Coronary Artery Aspiration Thrombectomy

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Textbook of Catheter-Based Cardiovascular Interventions

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Abstract

Acute ST-elevation myocardial infarction remains a major global cause of death and permanent disability. Management of thrombus in coronary vasculature presents a challenge that is commonly encountered during primary percutaneous coronary intervention. Thrombus burden has been associated with poor clinical outcomes and a greater number of adverse cardiac events. Various techniques and devices have been suggested for optimal management of such thrombi. We review the technology of aspiration thrombectomy and its utilization in the current era of thrombus retrieval. We highlight the landmark trials that have provided valuable data on the clinical outcomes of aspiration thrombectomy. We review and discuss the use of this technology in the management of patients presenting with ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, and acute ischemic stroke. Additionally, we highlight the differences between outcomes, theories that may explain these outcomes, and recommendations for further studies in this field.

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Authors and Affiliations

  1. University of Florida, Department of Medicine, Gainesville, FL, USA

    Dhruv Mahtta MD, MBA

  2. University of Florida, Department of Medicine – Division of Cardiovascular Medicine, Gainesville, FL, USA

    Islam Y. Elgendy MD & Ahmed N. Mahmoud MD

  3. University of Florida, Department of Medicine – Division of Cardiovascular Medicine, North Florida/South Georgia Veterans Health System, Gainesville, FL, USA

    Anthony A. Bavry MD, MPH

Authors
  1. Dhruv Mahtta MD, MBA
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  2. Islam Y. Elgendy MD
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  3. Ahmed N. Mahmoud MD
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  4. Anthony A. Bavry MD, MPH
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Correspondence to Anthony A. Bavry MD, MPH .

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Editors and Affiliations

  1. Middle German Heart Center and Health Care Center Bitterfeld-Wolfen, gGmbH, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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Mahtta, D., Elgendy, I.Y., Mahmoud, A.N., Bavry, A.A. (2018). Coronary Artery Aspiration Thrombectomy. In: Lanzer, P. (eds) Textbook of Catheter-Based Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-319-55994-0_44

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  • DOI: https://doi.org/10.1007/978-3-319-55994-0_44

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