Forward and back aspiration during ST-elevation myocardial infarction: a feasibility study.

Aims: The inability to optimise stent expansion fully whilst simultaneously preventing distal embolisation during ST-elevation myocardial infarction (STEMI) remains a clinical conundrum. We aimed to describe a newly devised angiographic strategy of "forward" and "back" aspiration that leads to more complete thrombus removal and prevention of distal embolisation, to allow high-pressure post-dilatation of the implanted stent to be performed.

Methods And Results: Forward aspiration was conducted with a conventional aspiration thrombectomy catheter, with bail-out aspiration thrombectomy for angiographically persistent thrombus utilising the larger bore 6 Fr (0.

Henoch Schönlein purpura with nephritis in adults: adverse prognostic indicators in a UK population.

Background: Henoch Schönlein purpura with nephritis (HSN) in adults may cause severe organ injury, but its rarity has contributed to a lack of data.

Aim: To evaluate clinical outcomes and risk factors in adult HSN patients.

Design: Retrospective analysis.