Thrombus Aspiration in STEMI Patients With High Thrombus Burden

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorGuangdong Provincial People's Hospital

About this trial

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 criteria

This trial does not accept healthy volunteers

Qualifiers

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;

Disqualifiers

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;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Thrombus aspiration

    Procedure/Surgery

    Percutaneous Coronary Intervention with manual aspiration thrombectomy

  • PCI Alone

    Procedure/Surgery

    Percutaneous Coronary Intervention without manual aspiration thrombectomy

Treatment groups

3,838 Participants
are divided into 2 treatment groups
Group A: Thrombus aspirationExperimental treatment 1 intervention
Group B: PCI AloneActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Major adverse cardiovascular events

The first occurrence of cardiovascular death, recurrent myocardial infarction, stent thrombosis or target vessel revascularization

Time frame
up to180 days

Secondary outcomes

1

Stroke

The symptoms continuing for more than 24 hours or leading to death with no apparent cause other than vascular

Time frame
up to 30 days
2

Composite adverse cardiocerebrovascular events

The first occurence of cardiovascular death, recurrent myocardial infarction, stent thrombosis, target vessel revascularization or stroke.

Time frame
up to 1 year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Guangdong Provincial People's Hospital

Lead sponsor

Zhongshan People's Hospital, Guangdong, China

Collaborator

Kaiping Central Hospital

Collaborator

Second Affiliated Hospital of Shantou University Medical College

Collaborator

The Third Xiangya Hospital of Central South University

Collaborator

Sihui City People's Hospital

Collaborator

Shenzhen Baoan District People's Hospital

Collaborator

People's Hospital of Nanxiong County

Collaborator

Yuebei People's Hospital

Collaborator

Weifang Medical University

Collaborator

Wuzhou Gongren Hospital

Collaborator

Dafeng Hospital of Chaoyang District in Shantou City

Collaborator

Dongguan People's Hospital

Collaborator

Yangchun People's Hospital

Collaborator

Taishan People's Hospital

Collaborator

The Second People's Hospital of Foshan

Collaborator

Guangzhou Hospital of integrated Traditional and West Medicine

Collaborator

Guangning People's Hospital

Collaborator

Foshan Sanshui District People's Hospital

Collaborator

Qingyuan People's Hospital

Collaborator

Luhe County People's Hospital

Collaborator

People's Hospital of Xinjiang Uygur Autonomous Region

Collaborator

The Fourth People's Hospital of Chenzhou

Collaborator

People's Hospital of Dapu County

Collaborator

Shenzhen People's Hospital

Collaborator

Heyuan people's Hospital

Collaborator

Huaiji People's Hospital

Collaborator

People's Hospital of Yingde City

Collaborator

Zhongshan Hospital Of Traditional Chinese Medicine

Collaborator

The Third Affiliated Hospital of Guangzhou Medical University

Collaborator

Lianzhou People's Hospital

Collaborator

Lianping Xian Ren Ming Yi Yuan

Collaborator

Guangxi Zhuang Autonomous Region Nationalities Hospital

Collaborator

Liuzhou Municipal Liutie Central Hospital

Collaborator

Chen Zhou 3RD People's Hospital

Collaborator

Longgang District People's Hospital of Shenzhen

Collaborator

The Affiliated Shunde Hospital of Jinan University

Collaborator

Shenzhen Longhua District Central Hospital

Collaborator

Shantou Central Hospital

Collaborator

Tongxiang First People's Hospital

Collaborator

Bobai County People's Hospital, Guangxi

Collaborator

Meizhou Traditional Chinese Medicine Hospital

Collaborator

The Third Affiliated Hospital of Sun Yat-Sen University, Yuedong Hospital

Collaborator

Shenzhen Third People's Hospital

Collaborator

Yangjiang People's Hospital

Collaborator

Jiangmen Central Hospital

Collaborator

Eighth Affiliated Hospital, Sun Yat-sen University

Collaborator

The First People's Hospital of Kashgar Erea

Collaborator

First People's Hospital of Foshan

Collaborator

Zhaoqing Gaoyao People's Hospital

Collaborator

People's Hospital of Nanhai District, Foshan

Collaborator

The Second Affiliated Hospital of Dalian Medical University

Collaborator

Nanning Second People's Hospital

Collaborator

The Second People's Hospital of Nanhai District of Foshan

Collaborator

Shangyou People's Hospital

Collaborator

Southern Medical University, China

Collaborator

Chaozhou Central Hospital

Collaborator

Chaoshan Hospital, the First Affiliated Hospital of Jinan University

Collaborator

Shenzhen Baoan District Traditional Chinese Medicine Hospital

Collaborator

The First Affiliated Hospital of Gannan Medical College

Collaborator

Puyang People's Hospital

Collaborator

Tongliao People's Hospital

Collaborator

Luohe Central Hospital

Collaborator

Linying County People's Hospital

Collaborator

Xiaolan People's Hospital of Zhongshan

Collaborator

The First Dongguan Affiliated Hospital of Guangdong Medical University

Collaborator