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

Slide: 38 of 39

Overall Conclusions

In patients with STEMI who are undergoing primary PCI, catheter aspiration thrombectomy reduces the occurrence of major adverse cardiovascular events, distal embolization, and no reflow, and catheter aspiration thrombectomy improves ST-segment elevation resolution and coronary flow. Evidence does not support benefits from mechanical thrombectomy or embolic protection devices, which appear to prolong procedure time. Current evidence is too limited to permit conclusions about the comparative benefits and harms of these devices with respect to final health outcomes and adverse events.