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2018 ; 18
(1
): 69
Nephropedia Template TP
gab.com Text
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English Wikipedia
Thrombus aspiration in patients with ST-elevation myocardial infarction: results
of a national registry of interventional cardiology
#MMPMID29699478
Pereira H
; Caldeira D
; Teles RC
; Costa M
; da Silva PC
; da Gama Ribeiro V
; Brandão V
; Martins D
; Matias F
; Pereira-Machado F
; Baptista J
; Abreu PFE
; Santos R
; Drummond A
; de Carvalho HC
; Calisto J
; Silva JC
; Pipa JL
; Marques J
; Sousa P
; Fernandes R
; Ferreira RC
; Ramos S
; Oliveira EI
; de Sousa Almeida M
BMC Cardiovasc Disord
2018[Apr]; 18
(1
): 69
PMID29699478
show ga
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.