TCT-135 A Systematic Review and Meta-analysis of Randomized trials of Manual Thrombectomy in ST Elevation Myocardial Infarction

Results: OCT assessment was available in 119 patients. Nine had a MACE (periprocedural myocardial infarction, myocardial infarction during follow-up or cardiac death), while 110 had no complications (control group). The control group showed a smaller number of cross section with residual thrombus area >10% respect to MACE group (8.26 9.49 vs 16.00 12.25; P1⁄4 0.02) and a smaller mean Thrombus area % (4.71 2.64 vs 6.33 2.94, p1⁄4 0.08). Conclusions: Residual intrastent thrombus is associated with higher incidence of cardiac events during follow-up in STEMI patients treated with primary angioplasty despite the adoption of aggressive strategy for thrombus removal.