Selective and global strategies for thrombus management in ST-elevated myocardial infarction interventions

摘要

Compulsive management of thrombus in ST-elevated myocardial infarction (STEMI) interventions contributes to improved early and late outcomes by reducing distal embolization and no-reflow and enabling better stent apposition. Although there appears unwavering agreement in the rational for thrombus management, the precise role of thrombectomy devices and techniques remains controversial. Clinical trials have been suggestive but not decisive and the ensuing guidelines remain disconcerted [1,2]. We lean upon our extensive 12-year experience with SINCERE in performing short door-to-balloon (D2B) interventions to clarify the role of thrombectomy and to propose strategies that include situations that lack a complete thrombectomy arsenal.