Detalhes bibliográficos
| Autor(a) principal: |
Pereira, H. |
| Data de Publicação: |
2018 |
| Outros Autores: |
Caldeira, D.,
Teles, R.,
Costa, M.,
Silva, P.,
Ribeiro, V.,
Brandão, V.,
Martins, D.,
Matias, F.,
Pereira-Machado, F.,
Baptista, J.,
Abreu, P.,
Santos, R.,
Drummond, A.,
Carvalho, H.,
Calisto, J.,
Silva, J.,
Pipa, J.,
Marques, J.,
Sousa, P.,
Fernandes, R.,
Ferreira, R.,
Ramos, S.,
Oliveira, E.,
Almeida, M. |
| Tipo de documento: |
Artigo
|
| Idioma: |
eng |
| Título da fonte: |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: |
http://hdl.handle.net/10400.16/2269
|
Resumo: |
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. |