Evidence map›Paper›PMID 32234015›Full record

Observational studyBMC cardiovascular disorders2020

Effect of thrombus aspiration on microcirculatory resistance and ventricular function in patients with high thrombus burden.

Doni Firman, Amir Aziz Alkatiri, Imammurahman Taslim, Surya Buana Wangi, Raymond Pranata

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Doni FirmanDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center Harapan Kita, Jl. Letjen S. Parman Kav 87, Slipi, Jakarta, Barat, 11420, Indonesia. dr.donifirman@gmail.com.ORCID 0000-0002-8649-8158
Amir Aziz AlkatiriDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center Harapan Kita, Jl. Letjen S. Parman Kav 87, Slipi, Jakarta, Barat, 11420, Indonesia.ORCID 0000-0001-8588-2871
Imammurahman TaslimFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Surya Buana WangiFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Raymond PranataFaculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia.ORCID 0000-0003-3998-6551
University of Indonesia · IDPelita Harapan University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have not demonstrated consistent outcomes following thrombus aspiration in Primary Percutaneous Coronary Intervention (PPCI). We investigated the relationship between thrombus aspiration and microvascular obstruction as measured using Index of Microcirculatory Resistance (IMR) immediately following PPCI and Left Ventricle Function Improvement measured using Global Longitudinal Strain (GLS) six months following PPCI. Our aim is to determine microvascular obstruction and left ventricle function improvement six months following thrombus aspiration during PPCI.

methodsThis was a single-center, observational, prospective non-randomized study involving 45 patients with thrombus score 4-5 (defined as high thrombus burden) and Thrombolysis in Myocardial Infarction (TIMI) flow of 0-2 who subsequently underwent PPCI. Thrombus aspiration was conducted based on physician discretion. The IMR was measured immediately following the procedure. All patients underwent echocardiography to measure GLS at 24 h, 3 months and 6 months following PPCI.

resultsThirty-three (73%) patients underwent thrombus aspiration during PPCI and twelve (27%) patients underwent the conventional PPCI. No significant difference in IMR was found between the group that underwent thrombus aspiration and the group that underwent conventional PCI (51.9 ± 41.5 vs 47.1 ± 35.6 p = 0.723). TIMI flow after PPCI was worse in thrombus aspiration group (OR 5.2 [1.2-23.2], p = 0.041). There was no difference in GLS between two groups at 6-month follow-up (- 13.0 ± 3.4 vs - 12.8 ± 4.6, p = 0.912).

conclusionThis study indicates no benefit of thrombus aspiration during PPCI in reducing either microvascular obstruction or left ventricular function at 6-month follow-up for patients with high thrombus burden. Nevertheless, further studies are required before definite conclusions can be made.

Indexed as

Coronary CirculationMicrocirculationPercutaneous Coronary InterventionThrombectomyVascular ResistanceVentricular Function, LeftAcute Coronary SyndromeCoronary ThrombosisFemaleHumansMaleMiddle AgedProspective StudiesRecovery of FunctionSuctionTime FactorsAcute coronary syndromeGlobal longitudinal strainHigh thrombus burden, index of microcirculatory resistancePrimary percutaneous coronary interventionThrombectomyThrombus aspiration

Identifiers

PMID32234015
PMCPMC7110617
OpenAlexW3014927371

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.