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

dc.contributor.authorPereira, H
dc.contributor.authorCaldeira, D
dc.contributor.authorTeles, R
dc.contributor.authorCosta, M
dc.contributor.authorSilva, P
dc.contributor.authorRibeiro, V, et al.
dc.date.accessioned2019-02-04T17:04:23Z
dc.date.available2019-02-04T17:04:23Z
dc.date.issued2018
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/s12872-018-0794-4.pt_PT
dc.identifier.issn1471-2261
dc.identifier.urihttp://hdl.handle.net/10400.10/2106
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBioMed Centralpt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5921398/pdf/12872_2018_Article_794.pdfpt_PT
dc.subjectAngioplastypt_PT
dc.subjectThrombectomypt_PT
dc.subjectMortalitypt_PT
dc.subjectPortugalpt_PT
dc.titleThrombus aspiration in patients with ST-elevation myocardial infarction: results of a national registry of interventional cardiology.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLondonpt_PT
oaire.citation.titleBioMed Central cardiovascular disorderspt_PT
oaire.citation.volume18pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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