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10.1186/s12872-018-0794-4

http://scihub22266oqcxt.onion/10.1186/s12872-018-0794-4
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suck abstract from ncbi


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pmid29699478
      BMC+Cardiovasc+Disord 2018 ; 18 (1 ): 69
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  • 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.
  • |*Percutaneous Coronary Intervention/adverse effects/mortality [MESH]
  • |*Thrombectomy/adverse effects/mortality [MESH]
  • |Aged [MESH]
  • |Coronary Thrombosis/diagnosis/mortality/*surgery [MESH]
  • |Female [MESH]
  • |Hospital Mortality [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Portugal [MESH]
  • |Protective Factors [MESH]
  • |Registries [MESH]
  • |Retrospective Studies [MESH]
  • |Risk Assessment [MESH]
  • |Risk Factors [MESH]
  • |ST Elevation Myocardial Infarction/diagnosis/mortality/*surgery [MESH]
  • |Time Factors [MESH]


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