Publication
Thrombus aspiration in patients with ST-elevation myocardial infarction: results of a national registry of interventional cardiology.
dc.contributor.author | Pereira, H | |
dc.contributor.author | Caldeira, D | |
dc.contributor.author | Teles, R | |
dc.contributor.author | Costa, M | |
dc.contributor.author | Silva, P | |
dc.contributor.author | Ribeiro, V, et al. | |
dc.date.accessioned | 2019-02-04T17:04:23Z | |
dc.date.available | 2019-02-04T17:04:23Z | |
dc.date.issued | 2018 | |
dc.description.abstract | BACKGROUND: 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.version | info:eu-repo/semantics/publishedVersion | pt_PT |
dc.identifier.citation | BMC Cardiovasc Disord. 2018 Apr 24;18(1):69 | pt_PT |
dc.identifier.doi | 10.1186/s12872-018-0794-4. | pt_PT |
dc.identifier.issn | 1471-2261 | |
dc.identifier.uri | http://hdl.handle.net/10400.10/2106 | |
dc.language.iso | eng | pt_PT |
dc.peerreviewed | yes | pt_PT |
dc.publisher | BioMed Central | pt_PT |
dc.relation.publisherversion | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5921398/pdf/12872_2018_Article_794.pdf | pt_PT |
dc.subject | Angioplasty | pt_PT |
dc.subject | Thrombectomy | pt_PT |
dc.subject | Mortality | pt_PT |
dc.subject | Portugal | pt_PT |
dc.title | Thrombus aspiration in patients with ST-elevation myocardial infarction: results of a national registry of interventional cardiology. | pt_PT |
dc.type | journal article | |
dspace.entity.type | Publication | |
oaire.citation.conferencePlace | London | pt_PT |
oaire.citation.title | BioMed Central cardiovascular disorders | pt_PT |
oaire.citation.volume | 18 | pt_PT |
rcaap.rights | openAccess | pt_PT |
rcaap.type | article | pt_PT |