Abstract

qualitative and quantitative techniques. Between January 1, 2003 and April 30, 2007, 175 patients underwent PCI for STEMI with a high thrombus grade (TIMI grade ≥4). Fifty-three underwent RT followed by balloons or stents, and 122 underwent a nonthrombectomy approach (NRT). A comparative cohort of 223 patients with STEMI and a low thrombus grade (TIMI grade b4) underwent nonthrombectomy PCI. An angiographic adverse event was defined as the occurrence of no-reflow, slow flow, distal embolization, perforation, or abrupt closure. Results: Baseline clinical characteristics of the RTandNRT groups were similar. Table 1 shows the clinical and angiographic outcomes of the 3 study groups. Conclusion: (1) RT reduces the angiographic adverse event rates of highly thrombotic lesions in STEMI patients. (2) RT in such a high-risk group tended to be associated with a lower 30-day mortality. Further data analysis with additional patients is ongoing and will be announced at a later date.

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