Total Abandonment of Thrombectomy in STEMI
Manual thrombectomy in patients presenting with STEMI has been proposed to reduce distal embolization and improve clinical outcomes. The TOTAL study of 10,732 STEMI patients has indicated that such an approach does not reduce the risk of CV death, recurrent MI, cardiogenic shock, or heart failure within 180 days. Thrombectomy was also associated with an increased rate of stroke within 30 days.
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