RecruitingNot ApplicableNCT04212494

Thrombus Aspiration in STEMI Patients With High Thrombus Burden

Thrombus Aspiration in Primary Percutaneous Coronary Intervention for STEMI Patients With High Thrombus Burden


Sponsor

Guangdong Provincial People's Hospital

Enrollment

3,838 participants

Start Date

Aug 30, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

This is a prospective, multicenter, open-label, randomized, controlled, parallel group study, in which ST-segment Elevation Myocardial Infarction (STEMI) patients with high thrombus burden(TIMI thrombus grade ≥3) are included. Patients are randomized to be treated with or without manual thrombus aspiration(TA) during primary percutaneous coronary intervention(PPCI) by a ratio of 1:1.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Age ≥ 18 years;
  • STEMI patients undergoing primary PCI within 12 hours after the onset of symptoms;
  • High thrombus burden after guidewire passes the lesion (TIMI thrombus grade ≥3);
  • Informed consent must be voluntary;

Exclusion Criteria7

  • Haemodynamic instability or cardiogenic shock;
  • After thrombolytic therapy;
  • The predicted survival time is less than 6 months due to non-cardiac disease;
  • History of coronary artery bypass grafting;
  • Participate in other researches within 30 days;
  • Preoperative gastrointestinal bleeding or contraindications to dual antiplatelet therapy;
  • Patients were considered unsuitable by other researchers.

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Interventions

PROCEDUREThrombus aspiration

Percutaneous Coronary Intervention with manual aspiration thrombectomy

PROCEDUREPCI Alone

Percutaneous Coronary Intervention without manual aspiration thrombectomy


Locations(50)

Fujian Provincial Hospital

Fuzhou, Fujian, China

First People's Hospital of Foshan

Foshan, Guangdong, China

The Second People's Hospital of Nanhai District

Foshan, Guangdong, China

First People's Hospital of Shunde (Affiliated Hospital at Shunde, Southern Medical University)

Foshan, Guangdong, China

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Guangzhou Panyu Central Hospital

Guangzhou, Guangdong, China

Guangzhou General Hospital of Guangzhou Military Command

Guangzhou, Guangdong, China

The first Affiliated Hospital, Sun Yat-Sen University

Guangzhou, Guangdong, China

Guangdong Provincial Hospital of traditional Chinese Medicine

Guangzhou, Guangdong, China

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

The Second Affiliated Hospital, Sun Yat-Sen University

Guangzhou, Guangdong, China

Zhujiang Hospital of Southern Medical University

Guangzhou, Guangdong, China

Nanfang Hospital

Guangzhou, Guangdong, China

Huangpu Division of The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Huadu District People's Hospital of Guangzhou

Guangzhou, Guangdong, China

Huizhou Third People's Hospital

Huizhou, Guangdong, China

Jiangmen Central Hospital

Jiangmen, Guangdong, China

Kaiping Central Hospital

Kaiping, Guangdong, China

Maoming People's Hospital

Maoming, Guangdong, China

The Second Affiliated Hospital of Shantou university Medical College

Shantou, Guangdong, China

Yue Bei People's Hospital

Shaoguan, Guangdong, China

Shenzhen People's Hospital

Shenzhen, Guangdong, China

The Eighth Affiliated Hospital, Sun Yat-Sen University

Shenzhen, Guangdong, China

Peking University Shenzhen Hospital

Shenzhen, Guangdong, China

Shenzhen Bao'an District People's Hospital

Shenzhen, Guangdong, China

Taishan people's Hospital

Taishan, Guangdong, China

Nanxiong people's Hospital

Xiongzhou, Guangdong, China

People's Hospital of Yangjiang City

Yangjiang, Guangdong, China

The Second Affiliated Hospital of Guangdong Medical University

Zhanjiang, Guangdong, China

Sihui people's Hospital

Zhaoqing, Guangdong, China

Zhongshan People's Hospital

Zhongshan, Guangdong, China

The Fifth Affiliated Hospital, Sun Yat-Sen University

Zhuhai, Guangdong, China

Zhuhai people's Hospital

Zhuhai, Guangdong, China

Guilin people's Hospital

Guilin, Guangxi, China

The Second Clinical College of Hainan Medical University

Haikou, Hainan, China

Hainan People's Hospital

Haikou, Hainan, China

Wuhan Asia Heart Hospital

Wuhan, Hubei, China

The Third Xiangya Hospital of Central South University

Changsha, Hunan, China

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

GanZhou Municopal Hospital

Ganzhou, Jiangxi, China

Shangyou Hospital

Ganzhou, Jiangxi, China

Affiliated Hospital, Weifang Medical University

Weifang, Shandong, China

The first Affiliated Hospital of Xi'an Jiaotong University

Xi’an, Shanxi, China

West China Hospital

Chengdu, Sichuan, China

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Kashgar first people's Hospital

Kashgar, Xinjiang, China

The First Affilicated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Yan'an Hospital of Kunming City

Kunming, Yunnan, China

Shaoxing people's Hospital

Shaoxing, Zhejiang, China

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

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