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| Name | Class |
|---|---|
| Uppsala University | OTHER |
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Treatment of myocardial infarction (blood clot in the arteries of the heart) has improved after introduction of 24/7 balloon angioplasty to open the blocked artery. However, the clot itself is not routinely removed but recent data in smaller trials indicate that this might improve recovery and prognosis. In this multicenter study of 5000 patients referred to Scandinavian hospitals for myocardial infarction the investigators test the hypothesis that patients randomized to treatment with thrombus aspiration (removing the blood clot by manual suction) before conventional angioplasty will have a reduced risk of death, fewer rehospitalisations, fewer new myocardial infarctions, reduced risk of heart failure, better coronary artery flow after angioplasty and greater reduction of infarct size compared to patients randomized to conventional angioplasty alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thrombus aspiration | Experimental | Thrombus aspiration is then followed by standard balloon angioplasty (PCI). |
|
| Standard balloon angioplasty (PCI) | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thrombus aspiration | Procedure | Aspiration of thrombus material before angioplasty |
|
| Measure | Description | Time Frame |
|---|---|---|
| All-cause death | Death from any cause will be registered via national registries during the first 30 days after study inclusion. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time to re-hospitalization with nonfatal reinfarction, heart failure and target vessel revascularization | 30 days to 10 years | |
| Time to all-cause death or new myocardial infarction (first occurring) or in hospital treatment for heart failure | 30 days to 10 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ole Fröbert, MD, PhD | Region Örebro County | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Skejby Hospital, Aarhus University Hospital | Aarhus | Denmark | ||||
| Landspitali University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26856224 | Derived | Calais F, Lagerqvist B, Leppert J, James SK, Frobert O. Thrombus aspiration in patients with large anterior myocardial infarction: A Thrombus Aspiration in ST-Elevation myocardial infarction in Scandinavia trial substudy. Am Heart J. 2016 Feb;172:129-34. doi: 10.1016/j.ahj.2015.11.012. Epub 2015 Nov 22. | |
| 26077585 | Derived |
| Label | URL |
|---|---|
| Related Info | View source |
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| Time to acute coronary occlusion, stent thrombosis and restenosis in treated lesions | 1 year |
| Length of hospital stay | 1 month |
| TIMI-flow grade | TIMI-flow, or Thrombolysis in Myocardial Infarction grading of flow is a semiquantitative method to assess coronary artery flow following balloon angioplasty. | 3 hours |
| All-cause death | 1 year to 10 years |
| Reykjavik |
| Iceland |
| Södra Älvsborgs sjukhus | Borås | Sweden |
| Mälarsjukhuset | Eskilstuna | Sweden |
| Falu lasarett | Falun | Sweden |
| Gävle sjukhus | Gävle | Sweden |
| Sahlgrenska sjukhuset | Gothenburg | Sweden |
| Östra sjukhuset | Gothenburg | Sweden |
| Hallands sjukhus | Halmstad | Sweden |
| Helsingborgs lasarett | Helsingborg | Sweden |
| Länssjukhuset Ryhov | Jönköping | Sweden |
| Länssjukhuset | Kalmar | Sweden |
| Blekingesjukhuset | Karlskrona | Sweden |
| Svensk PCI AB, Centralsjukhuset | Karlstad | Sweden |
| Centralsjukhuset | Kristianstad | Sweden |
| Universitetssjukhuset | Linköping | Sweden |
| Sunderby sjukhus | Luleå | Sweden |
| Lund University Hospital | Lund | Sweden |
| Skånes universitetssjukhus | Malmö | Sweden |
| Örebro University Hospital | Örebro | Sweden |
| Karolinska universitetssjukhuset | Solna | Sweden |
| Danderyds sjukhus | Stockholm | Sweden |
| S:t Görans sjukhus | Stockholm | Sweden |
| Södersjukhuset | Stockholm | Sweden |
| Länssjukhuset | Sundsvall | Sweden |
| Norra Älvsborgs länssjukhus | Trollhättan | Sweden |
| Universitetssjukhuset | Umeå | Sweden |
| Uppsala University Hospital | Uppsala | Sweden |
| Centrallasarettet | Västerås | Sweden |
| Frobert O, Calais F, James SK, Lagerqvist B. ST-elevation myocardial infarction, thrombus aspiration, and different invasive strategies. A TASTE trial substudy. J Am Heart Assoc. 2015 Jun 15;4(6):e001755. doi: 10.1161/JAHA.114.001755. |
| 25176395 | Derived | Lagerqvist B, Frobert O, Olivecrona GK, Gudnason T, Maeng M, Alstrom P, Andersson J, Calais F, Carlsson J, Collste O, Gotberg M, Hardhammar P, Ioanes D, Kallryd A, Linder R, Lundin A, Odenstedt J, Omerovic E, Puskar V, Todt T, Zelleroth E, Ostlund O, James SK. Outcomes 1 year after thrombus aspiration for myocardial infarction. N Engl J Med. 2014 Sep 18;371(12):1111-20. doi: 10.1056/NEJMoa1405707. Epub 2014 Sep 1. |
| 23991656 | Derived | Frobert O, Lagerqvist B, Olivecrona GK, Omerovic E, Gudnason T, Maeng M, Aasa M, Angeras O, Calais F, Danielewicz M, Erlinge D, Hellsten L, Jensen U, Johansson AC, Karegren A, Nilsson J, Robertson L, Sandhall L, Sjogren I, Ostlund O, Harnek J, James SK; TASTE Trial. Thrombus aspiration during ST-segment elevation myocardial infarction. N Engl J Med. 2013 Oct 24;369(17):1587-97. doi: 10.1056/NEJMoa1308789. Epub 2013 Aug 31. |
| 21146656 | Derived | Frobert O, Lagerqvist B, Gudnason T, Thuesen L, Svensson R, Olivecrona GK, James SK. Thrombus Aspiration in ST-Elevation myocardial infarction in Scandinavia (TASTE trial). A multicenter, prospective, randomized, controlled clinical registry trial based on the Swedish angiography and angioplasty registry (SCAAR) platform. Study design and rationale. Am Heart J. 2010 Dec;160(6):1042-8. doi: 10.1016/j.ahj.2010.08.040. |
| 20550973 | Derived | Frobert O, Lagerqvist B, Kreutzer M, Olivecrona GK, James SK. Thrombus aspiration in ST-elevation myocardial infarction in Sweden: a short report on real world outcome. Int J Cardiol. 2010 Dec 3;145(3):572-3. doi: 10.1016/j.ijcard.2010.05.044. Epub 2010 Jun 13. No abstract available. |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D009203 | Myocardial Infarction |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D017202 | Myocardial Ischemia |
| D014652 | Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
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