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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.authorCampante Teles, R
dc.contributor.authorCosta, M
dc.contributor.authorCanas da Silva, P
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.authorFarto e Abreu, P
dc.contributor.authorSantos, R
dc.contributor.authorDrummond, A
dc.contributor.authorCyrne de Carvalho, H
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.authorCruz Ferreira, R
dc.contributor.authorRamos, S
dc.contributor.authorInfante Oliveira, E
dc.contributor.authorde Sousa Almeida, M
dc.date.accessioned2018-08-07T10:19:33Z
dc.date.available2018-08-07T10:19:33Z
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):69.pt_PT
dc.identifier.doi10.1186/s12872-018-0794-4pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3019
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBioMed Centralpt_PT
dc.subjectHSM CARpt_PT
dc.subjectCoronary Thrombosis/diagnosispt_PT
dc.subjectCoronary Thrombosis/mortalitypt_PT
dc.subjectPortugalpt_PT
dc.subjectCoronary Thrombosis/surgerypt_PT
dc.subjectHospital Mortalitypt_PT
dc.subjectPercutaneous Coronary Intervention/adverse effectspt_PT
dc.subjectPercutaneous Coronary Intervention/mortality
dc.subjectProtective Factors
dc.subjectRegistries
dc.subjectRetrospective Studies
dc.subjectRisk Assessment
dc.subjectRisk Factors
dc.subjectST Elevation Myocardial Infarction/diagnosis
dc.subjectST Elevation Myocardial Infarction/mortality
dc.subjectST Elevation Myocardial Infarction/surgery
dc.subjectThrombectomy/adverse effects
dc.subjectThrombectomy/mortality
dc.subjectTime Factors
dc.subjectTreatment Outcome
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.titleBMC Cardiovascular Disorderspt_PT
oaire.citation.volume18pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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