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Start Over Author "Fernando Lozano Ruíz-Poveda" Publisher ovid technologies (wolters kluwer health)
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1. Letter by Jurado-Román et al Regarding Article, 'Thrombus Aspiration in ST-Segment–Elevation Myocardial Infarction: An Individual Patient Meta-Analysis: Thrombectomy Trialists Collaboration'

Author

Fernando Lozano-Ruíz-Poveda, Ignacio Sanchez-Perez, and Alfonso Jurado-Román

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Percutaneous coronary intervention, Context (language use), 030204 cardiovascular system & hematology, medicine.disease, Thrombosis, law.invention, Surgery, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Physiology (medical), Meta-analysis, Conventional PCI, medicine, ST segment, cardiovascular diseases, 030212 general & internal medicine, Myocardial infarction, Cardiology and Cardiovascular Medicine, business
Abstract

We have carefully read the article by Jolly et al.1 We congratulate the authors for the effort of pooling individual data from the most important trials regarding thrombus aspiration (TA). It confirms that routine TA should not be performed in this context. However, we would like to make some considerations. We agree that after the TAPAS trial (Thrombus Aspiration During Primary Percutaneous Coronary Intervention),2 TA became part of routine practice, and was probably overused. However, results of the TASTE (Thrombus Aspiration During ST-Segment Elevation Myocardial Infarction)3 and TOTAL (Randomized Trial of Primary PCI With or Without Routine Manual Thrombectomy)4 trials, which drive the bulk of the overall effect …

Published
2017
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