Thrombectomy in patients with STEMI undergoing PCI

Zaza Iakobishvili

In which patients with ST-segment elevation myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI) should we perform thrombectomy?

Zaza Iakobishvili, MD, PhD: According to the last guidelines thrombectomy is contraindicated, but there is an important addition: routine use of thrombectomy. Thrombectomy by itself is not abandoned but reserved only for patients with very, very high thrombotic burden. In these cases, we can occasionally do thrombectomy but [only] in patients with very high thrombotic burden and if the operator feels good with this equipment. But the routine use of thrombectomy is abandoned. It is contraindicated.

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