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在PCI术中支架撑开之前,进行血栓抽吸一直被认为是合理的治疗方法,它可以减少远端微血管栓塞的发生并改善预后。那么在PCI术中进行常规血栓抽吸是否可取呢?来自汉密尔顿综合医院的Jolly教授给出了意见。在2008年,单中心TAPAS实验显示,PCI术中进行常规血栓抽吸可以改善手术效果并降低1年死亡率。然而,大型TASTE实验则显示血栓抽吸并没有降低30天或1年死亡率。TOTAL实验是最大的一个血栓抽吸实验。对随机患者
Thrombectomy has been considered as a reasonable treatment before stent placement in PCI, which can reduce the incidence of distal microvascular embolism and improve prognosis. Is it advisable to carry out conventional thrombus aspiration during PCI? Professor Jolly from Hamilton General Hospital gave his opinion. In 2008, a one-center TAPAS trial showed that routine thrombus aspiration during PCI improved outcomes and reduced 1-year mortality. However, large TASTE experiments showed that thrombus aspiration did not reduce the 30-day or 1-year mortality. The TOTAL experiment is the largest of a thrombus aspiration experiment. For random patients