Impact of thrombectomy on distales embolization during ST elevation myocardial infaction

2017

Percutaneous primary coronary angioplasty is the cornerstone for acute coronary syndrome with ST segment elevation (STEMI) treatment with proven efficacy to restore flow in culprit coronary artery. A TIMI (thrombolysis in myocardial infarction) 3 flow is generally restored in more than 90 % of patients. However, distal embolization of an angiographically visible thrombus (EDAV) has been identified as one of the major complications of primary angioplasty in STEMI because it limits the effectiveness of myocardial reperfusion and leads to a worse prognosis.Our objective was to determine the frequency of EDAVs during primary angioplasty for STEMI and to identify the determining factors.We evalu…