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Thrombus aspiration in patients with ST-elevation myocardial infarction: results of a national registry of interventional cardiology

2018-04-24Journal article Open access
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dc.contributor.authorPereira, H
dc.contributor.authorCaldeira, D
dc.contributor.authorTeles, RC
dc.contributor.authorCosta, M
dc.contributor.authorda Silva, PC
dc.contributor.authorda Gama Ribeiro, V
dc.contributor.authorBrandão, V
dc.contributor.authorMartins, D
dc.contributor.authorMatias, F
dc.contributor.authorPereira-Machado, F
dc.contributor.authorBaptista, J
dc.contributor.authorAbreu, PF
dc.contributor.authorSantos, R
dc.contributor.authorDrummond, A
dc.contributor.authorde Carvalho, HC
dc.contributor.authorCalisto, J
dc.contributor.authorSilva, JC
dc.contributor.authorPipa, JL
dc.contributor.authorMarques, J
dc.contributor.authorSousa, P
dc.contributor.authorFernandes, R
dc.contributor.authorFerreira, RC
dc.contributor.authorRamos, S
dc.contributor.authorOliveira, EI
dc.contributor.authorde Sousa Almeida, M
dc.date.accessioned2018-07-06T11:46:17Z
dc.date.available2018-07-06T11:46:17Z
dc.date.issued2018-04-24
dc.description.abstractBACKGROUND: We aimed to evaluate the impact of thrombus aspiration (TA) during primary percutaneous coronary intervention (P-PCI) in 'real-world' settings. METHODS: We performed a retrospective study, using data from the National Registry of Interventional Cardiology (RNCI 2006-2012, Portugal) with ST-elevation myocardial infarction (STEMI) patients treated with P-PCI. The primary outcome, in-hospital mortality, was analysed through adjusted odds ratio (aOR) and 95% confidence intervals (95%CI). RESULTS: We assessed data for 9458 STEMI patients that undergone P-PCI (35% treated with TA). The risk of in-hospital mortality with TA (aOR 0.93, 95%CI:0.54-1.60) was not significantly decreased. After matching patients through the propensity score, TA reduced significantly the risk of in-hospital mortality (OR 0.58, 95%CI:0.35-0.98; 3500 patients). CONCLUSIONS: The whole cohort data does not support the routine use of TA in P-PCI, but the results of the propensity-score matched cohort suggests that the use of selective TA may improve the short-term risks of STEMI..pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMC Cardiovasc Disord. 2018 Apr 24;18(1):69pt_PT
dc.identifier.doi10.1186/s12872-018-0794-4pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.23/1272
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectAngioplastiapt_PT
dc.subjectEnfarte do Miocárdiopt_PT
dc.subjectIntervenção Coronária Percutâneapt_PT
dc.subjectEnfarte do Miocárdio com Supradesnível do Segmento STpt_PT
dc.subjectTrombectomiapt_PT
dc.subjectTrombose Coronáriapt_PT
dc.titleThrombus aspiration in patients with ST-elevation myocardial infarction: results of a national registry of interventional cardiologypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage69pt_PT
oaire.citation.volume18pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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