title: AngioJet experience from the multi-center STENT Registry.
abstract: OBJECTIVE
  To explore the utilization and clinical outcomes of AngioJet Rheolytic thrombectomy from the Strategic Transcatheter Evaluation of New Therapies (STENT) multi-center prospective registry from May 2003 through December 2005.
  
  
  METHODS
  Prospective consent was sought for all consecutive percutaneous coronary intervention (PCI) patients at all institutions and achieved in 84% of all patients. Of these, clinical follow-up at 9 months was achieved in 94% of eligible patients at all institutions.
  
  
  RESULTS
  Of a total of 9,707 patients, AngioJet was utilized in 3-4% of all procedures, including 12-14% of all procedures with thrombolysis in myocardial infarction (TIMI) grade 3 thrombus or greater and 10-12% of acute evolving MI patients. Nine-month clinical outcomes showed similar mortality rates for patients treated with AngioJet (5.0%) versus those with no thrombectomy (6.5%) for patients with thrombus grade 3 or greater, despite the higher clinical risk profile of the AngioJet patient population due to a higher percentage of cardiogenic shock and larger thrombus.
  
  
  CONCLUSIONS
  The results of this larger, multi-center registry indicate that AngioJet thrombectomy, when selected in general clinical practice for high risk patients with thrombus, results in non-significant numerically lower rate of mortality with no indication of safety issues.
authors.affiliation: Sanger Clinic, Carolinas Heart Institute, Charlotte, North Carolina 28203, USA. pcichuck@att.net
authors.forename: Charles A
authors.initials: CA
authors.lastname: Simonton
authors.forename: Bruce R
authors.initials: BR
authors.lastname: Brodie
authors.forename: Hadley
authors.initials: H
authors.lastname: Wilson
authors.forename: Robert
authors.initials: R
authors.lastname: Haber
authors.forename: Glen
authors.initials: G
authors.lastname: Kowalchuk
authors.forename: Michael
authors.initials: M
authors.lastname: Rinaldi
authors.forename: John
authors.initials: J
authors.lastname: Cedarholm
authors.forename: Angela
authors.initials: A
authors.lastname: Humphrey
authors.forename: Sherry
authors.initials: S
authors.lastname: Laurent
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000592:standards / Q000706:statistics & numerical data*; D003328:Coronary Thrombosis / Q000150:complications / Q000401:mortality / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D012042:Registries; D012307:Risk Factors; D012770:Shock, Cardiogenic / Q000150:complications; D017131:Thrombectomy / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data*; D016896:Treatment Outcome