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Adjunctive Devices for Patients With Acute Coronary Syndromes Undergoing Percutaneous Coronary Intervention

Slide: 24 of 39

Adjunctive Catheter Aspiration Thrombectomy Versus PCI Alone in Patients With Mixed ACS: All Outcomes

In one RCT, the use of catheter aspiration devices did not significantly impact the risk of in-hospital mortality. In a controlled observational study, the use of a catheter aspiration device significantly reduced the risk of 30-day mortality when compared with a control. No trials or studies evaluated MI, stroke, target revascularization, or MACE at any time period or mortality at additional time periods versus control.

In the same RCT, the use of catheter aspiration devices did not significantly impact the risk of attaining TIMI-3 blood flow, but the use of a catheter aspiration device significantly increased the risk of attaining an MBG of 3. Given the risk difference for MBG-3 [RD 0.30 (0.10, 0.51), (CER 0.09)], three people would need to be treated with a catheter aspiration device to cause one person to achieve an MBG of 3.

No trials or studies included in the CER evaluated ST-segment elevation, ejection fraction, distal embolization, or no reflow.