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Key PointsQuestionWhat are the temporal trends and clinical benefits of manual aspiration thrombectomy use during primary percutaneous coronary intervention for ST-elevation myocardial infarction? FindingsIn this cohort study of 683 584 primary percutaneous coronary interventions, aspiration thrombectomy use increased from 2009 to 2011, followed by a decline through 2016. Aspiration thrombectomy use was associated with no difference in mortality, a small increase in in-hospital stroke, and no difference in cumulative events at 180 days. MeaningAspiration thrombectomy use is declining nationwide, with trends in use corresponding with evolving trial data; there was no clinical benefit of selective aspiration thrombectomy use during primary percutaneous coronary intervention for ST-elevation myocardial infarction.
JAMA Cardiology – American Medical Association
Published: Feb 9, 2019
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