Letter by Shah Regarding Article, “Thrombus Aspiration in ST-Segment–Elevation Myocardial Infarction: An Individual Patient Meta-Analysis: Thrombectomy Trialists Collaboration”
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To the Editor:
Jolly and colleagues1 concluded that in patients with large thrombus burdens, manual aspiration thrombectomy (MAT) during primary percutaneous coronary intervention (PCI) was associated with lower cardiovascular mortality but a higher risk of stroke/transient ischemic attack. Multiple randomized clinical trials on this subject have been reported, but only in the TOTAL trial (Thrombectomy With PCI Versus PCI Alone) was stroke risk higher in the MAT arm compared with PCI alone.2 It appears that the increased risk of …