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

5Citations
Citations of this article
29Readers
Mendeley users who have this article in their library.

Abstract

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.

Cite

CITATION STYLE

APA

Pereira, H., Caldeira, D., Teles, R. C., Costa, M., da Silva, P. C., da Gama Ribeiro, V., … de Sousa Almeida, M. (2018). Thrombus aspiration in patients with ST-elevation myocardial infarction: Results of a national registry of interventional cardiology. BMC Cardiovascular Disorders, 18(1). https://doi.org/10.1186/s12872-018-0794-4

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free