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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, R.
dc.contributor.authorCosta, M.
dc.contributor.authorSilva, P.
dc.contributor.authorRibeiro, 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, P.
dc.contributor.authorSantos, R.
dc.contributor.authorDrummond, A.
dc.contributor.authorCarvalho, H.
dc.contributor.authorCalisto, J.
dc.contributor.authorSilva, J.
dc.contributor.authorPipa, J.
dc.contributor.authorMarques, J.
dc.contributor.authorSousa, P.
dc.contributor.authorFernandes, R.
dc.contributor.authorFerreira, R.
dc.contributor.authorRamos, S.
dc.contributor.authorOliveira, E.
dc.contributor.authorAlmeida, M.
dc.date.accessioned2019-07-18T08:57:14Z
dc.date.available2019-07-18T08:57:14Z
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.issn1471-2261
dc.identifier.urihttp://hdl.handle.net/10400.16/2269
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relation.publisherversionhttps://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-018-0794-4pt_PT
dc.subjectThrombectomypt_PT
dc.subjectThrombus aspirationpt_PT
dc.subjectMortalitypt_PT
dc.subjectPortugalpt_PT
dc.subjectPrimary PCIpt_PT
dc.subjectAngioplastypt_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.conferencePlaceEnglandpt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage69pt_PT
oaire.citation.titleBMC Cardiovascular Disorderspt_PT
oaire.citation.volume18pt_PT
person.familyNameCyrne
person.givenNameHenrique
person.identifier.orcid0000-0001-7235-7891
person.identifier.scopus-author-id18333401000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf3247672-baea-4a40-8e3e-930a1c0365c8
relation.isAuthorOfPublication.latestForDiscoveryf3247672-baea-4a40-8e3e-930a1c0365c8

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