Related Experiment Video

Updated: Mar 26, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

6.2K

Manual aspiration thrombectomy devices use in coronary interventions in 2016

Viktor Kočka1, Petr Toušek1

  • 1a Cardiocentre, Third Medical Faculty , Charles University in Prague , Prague 10 , Czech Republic.

Expert Review of Medical Devices
|January 26, 2016
PubMed

Insights

Manual aspiration thrombectomy for acute myocardial infarction shows high tissue retrieval rates but offers no clinical benefit and increases stroke risk. Routine use is not recommended.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Percutaneous coronary intervention effectively treats acute myocardial infarction.
  • Suboptimal microcirculation restoration negatively impacts patient outcomes.
  • Distal embolization of thrombus contributes to poor microcirculation.

Purpose of the Study:

  • To evaluate the efficacy and safety of manual aspiration thrombectomy in acute myocardial infarction.
  • To determine if thrombus extraction improves patient outcomes.

Main Methods:

  • Review of studies on manual aspiration thrombectomy devices for thrombus extraction.
  • Analysis of tissue retrieval rates and clinical outcomes from multiple trials.

Main Results:

  • Thrombotic or atheromatous tissue retrieval success rate exceeds 70%.
  • Initial small studies showed encouraging results.
  • Three large studies demonstrated no clinical benefit.
  • A small but significant increase in stroke rate was observed.

Conclusions:

  • Routine manual aspiration thrombectomy is not recommended for acute myocardial infarction.
  • Aspiration thrombectomy has a significant safety concern regarding increased stroke risk.
  • Selective use in specific patient groups warrants further scientific investigation.

Keywords:
Aspiration thrombectomyCoronary thrombusDistal embolizationMicrovascular obstructionNo-reflowPercutaneous coronary interventionStroke

More Related Videos

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis06:59

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Published on: August 26, 2025

714
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock07:39

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

4.3K

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
460
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
547