title: Our aspirations still disappoint.
abstract: Routine thrombectomy during coronary intervention for STEMI is not supported by two large prospective randomized trials. Occasional case-specific clot removal, while appealing, remains an unproven adjunct to primary stenting during STEMI therapy. While early MACE events may be lower, during follow-up, there is a higher risk of stroke in patients who undergo thrombectomy.
authors.affiliation: Valley Medical Center, Cottonwood, AZ.
authors.forename: Samuel M
authors.initials: SM
authors.lastname: Butman
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*; D011446:Prospective Studies; D017131:Thrombectomy; D016896:Treatment Outcome