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Association of Physician Variation in Use of Manual Aspiration Thrombectomy With Outcomes Following Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction

Association of Physician Variation in Use of Manual Aspiration Thrombectomy With Outcomes... 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

Association of Physician Variation in Use of Manual Aspiration Thrombectomy With Outcomes Following Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction

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References (42)

Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2018.4472
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

JAMA CardiologyAmerican Medical Association

Published: Feb 9, 2019

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