الفهرس 
ST elevation myocardial infarctionOnly 14 pages are availabe for public view
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Abstract
The idea of an occluding thrombus as an etiology for ST elevation myocardial infarction (STEMI) and its dissolution as a treatment, had been around since 1950s The aim of this study is to prove that thrombus-aspirating device during PPCI improves acute myocardial reperfusion compared with standard PCI in patients with STEMI, measured by ST-segment resolution (STR) and myocardial blush grade (MBG), compared with standard PPCI. This study was conducted in the National Heart Institute during three years; between January 2014 to september 2015. The study enrolled 70 patients with acute ST elevation Ml. The patients were divided into two groups: group (A) included thirty five patients who underwent primary percutaneous coronary intervention (PPCI) with thrombus aspiration (TA). group (B) included thirty five patients who underwent PPCI without TA i.e standard PCI (SP). The patients in our study were predominantly male (77.4 %) with a mean age over fifty two years in both groups. All patients were accessed using the femoral approach with a 6 french (F) system. Aspiration was done before stenting or balloon predilatation. All patients were pre-treated with aspirin 300 mg orally or intravenously, clopidogrel 300 mg orally, and unfractionated heparin 10 000IE intravenously.