IN-HOSPITAL OUTCOMES OF MANUAL THROMBUS ASPIRATION VERSUS PRE-BALLOON DILATATION DURING PRIMARY PCI FOR TOTAL OCCLUSION

Objectives: This study was designed to compare the in-hospital outcomes of primary PCI with export vs. balloon in patients total occlusion. Methodology: Consecutive STEMI undergoing TA and pre-balloon dilatation were recruited 1:1 ratio post-procedure mortality complication rate (slow flow/no-reflow, contrast-induced nephropathy (CIN), arrhythmias) compared. Patients group further stratified based on time (time from onset chest pain use export) as ≤ 6 hours or > hours. Results: A 200:199 group. Overall complications significantly higher group, 39.7% (79/199) 23.0% (46/200); p<0.001, which included slow flow/no-reflow (24.6% 14.5%; p=0.005), CIN (10.1% 4.5%; p=0.022), arrhythmias (14.6% 5.5%; p=0.006) 3.0% (6/200) 6.0% (12/199); p=0.153. Upon stratifications, more favorable when compared 0% 6.3%; p=0.010 19.2% 27.1%; p=0.187. Conclusion: occlusion associated lesser relatively better benefits. The benefits directly time. Therefore, timely can be considered