X-sizer for thrombectomy in acute myocardial infarction improves ST-segment resolution : Results of the X-sizer in AMI for negligible embolization and optimal ST resolution (X AMINE ST) trial

We sought to compare, in a prospective randomized multicenter study, the effect of adjunctive thrombectomy using X-Sizer (eV3, White Bear Lake, Minnesota) before percutaneous coronary intervention (PCI) versus conventional PCI in patients with acute myocardial infarction (AMI) for 50% were: younger...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2005-07, Vol.46 (2), p.246-252
Main Authors: LEFEVRE, Thierry, GARCIA, Eulegio, THOMAS, Martin, GLATT, Bernard, LUDWIG, Joseph, REIMERS, Bernhard, LANG, Iréne, DI MARIO, Carlo, COLOMBO, Antonio, NEUMANN, Franz-Joseph, VALDES CHAVARRI, Mariano, BRUNEL, Philippe, GRUBE, Eberhart
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary
Biological and medical sciences
Cardiac Catheterization - instrumentation
Cardiology
Cardiology. Vascular system
Coronary Angiography
Coronary Circulation
Coronary heart disease
Coronary vessels
Electrocardiography
Female
Follow-Up Studies
Heart
Heart attacks
Humans
Male
Medical sciences
Middle Aged
Mortality
Multivariate Analysis
Myocardial Infarction - surgery
Myocardial Reperfusion
Myocarditis. Cardiomyopathies
Platelet Glycoprotein GPIIb-IIIa Complex - antagonists & inhibitors
Prospective Studies
Stents
Thrombectomy - instrumentation
Time Factors
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Summary:We sought to compare, in a prospective randomized multicenter study, the effect of adjunctive thrombectomy using X-Sizer (eV3, White Bear Lake, Minnesota) before percutaneous coronary intervention (PCI) versus conventional PCI in patients with acute myocardial infarction (AMI) for 50% were: younger age, non-anterior MI, use of the X-Sizer, and a short time interval from symptom onset. Reducing thrombus burden with X-Sizer before stenting leads to better myocardial reperfusion, as illustrated by a reduced risk of distal embolization and better ST-segment resolution.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2005.04.031