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  • Mahmoud, Karim D.Department of Cardiology, Thorax Center, Erasmus Medical Center, Rotterdam, The Netherlands; Department of Cardiology, Sint Franciscus Gasthuis, Rotterdam, The Netherlands,St Franciscus Gasthuis, Dept Cardiol, Kleiweg 500,POB 10900, NL-3004 BA Rotterdam, Netherlands;Erasmus MC, Thorax Ctr, Dept Cardiol, Rotterdam, Netherlands,Erasmus University Medical Center,Franciscus Gasthuis & Vlietland (author)

Clinical impact of direct stenting and interaction with thrombus aspiration in patients with ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention : Thrombectomy Trialists Collaboration

  • Article/chapterEnglish2018

Publisher, publication year, extent ...

  • 2018-04-21
  • Oxford University Press,2018
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:oru-68242
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-68242URI
  • https://doi.org/10.1093/eurheartj/ehy219DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-361276URI
  • https://lup.lub.lu.se/record/6ff2a8d6-76e4-40d0-8b5b-1f53e7356150URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies:Medtronic  Vascular Solutions  Terumo Inc.  Boston Scientific  Abbot Vascular  AstraZeneca  Medicines Company 
  • Aims: Preliminary studies suggest that direct stenting (DS) during percutaneous coronary intervention (PCI) may reduce microvascular obstruction and improve clinical outcome. Thrombus aspiration may facilitate DS. We assessed the impact of DS on clinical outcome and myocardial reperfusion and its interaction with thrombus aspiration among ST-segment elevation myocardial infarction (STEMI) patients undergoing PCI.Methods and results: Patient-level data from the three largest randomized trials on routine manual thrombus aspiration vs. PCI only were merged. A 1:1 propensity matched population was created to compare DS and conventional stenting. Synergy between DS and thrombus aspiration was assessed with interaction P-values in the final models. In the unmatched population (n= 17329), 32% underwent DS and 68% underwent conventional stenting. Direct stenting rates were higher in patients randomized to thrombus aspiration as compared with PCI only (41% vs. 22%; P < 0.001). Patients undergoing DS required less contrast (162 mL vs. 172 mL; P < 0.001) and had shorter fluoroscopy time (11.1 min vs. 13.3 min; P < 0.001). After propensity matching (n = 10944), no significant differences were seen between DS and conventional stenting with respect to 30-day cardiovascular death [1.7% vs. 1.9%; hazard ratio 0.88, 95% confidence interval (CI) 0.55-1.41; P=0.60; P-interaction = 0.96) and 30-day stroke or transient ischaemic attack (0.6% vs. 0.4%; odds ratio 1.02; 95% CI 0.14-7.54; P= 0.99; P-interaction = 0.81). One-year results were similar. No significant differences were seen in electrocardiographic and angiographic myocardial reperfusion measures.Conclusion: Direct stenting rates were higher in patients randomized to thrombus aspiration. Clinical outcomes and myocardial reperfusion measures did not differ significantly between DS and conventional stenting and there was no interaction with thrombus aspiration.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Jolly, Sanjit S.Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton Ontario, Canada,McMaster Univ, Hamilton Hlth Sci, Populat Hlth Res Inst, Hamilton, ON, Canada (author)
  • James, Stefan K,1964-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)stjam367 (author)
  • Dzavik, VladimirPeter Munk Cardiac Centre, University Health Network, Toronto Ontario, Canada,Univ Hlth Network, Peter Munk Cardiac Ctr, Toronto, ON, Canada,University Health Network University of Toronto (author)
  • Cairns, John A.University of British Columbia, Vancouver British Columbia, Canada,Univ British Columbia, Vancouver, BC, Canada,McMaster Univ, Hamilton Hlth Sci, Populat Hlth Res Inst, Hamilton, ON, Canada,Population Health Research Institute, Ontario,McMaster University (author)
  • Olivecrona, Goran K.Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)kard-gol (author)
  • Renlund, Henrik,1979-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Institutionen för medicinska vetenskaper(Swepub:uu)henre358 (author)
  • Gao, PeggyPopulation Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton Ontario, Canada,McMaster Univ, Hamilton Hlth Sci, Populat Hlth Res Inst, Hamilton, ON, Canada (author)
  • Lagerqvist, Bo,1952-Uppsala University,Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)bolager (author)
  • Alazzoni, AshrafPopulation Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton Ontario, Canada (author)
  • Kedev, SaskoUniversity Clinic of Cardiology, Sts. Cyril and Methodius University, Skopje, Macedonia,Sts Cyril & Methodius Univ, Univ Clin Cardiol, Skopje, Macedonia,The Saints Cyril and Methodius University of Skopje (author)
  • Stankovic, GoranDepartment of Cardiology, Clinical Center of Serbia and Faculty of Medicine, University of Belgrade, Belgrade, Serbia,Univ Belgrade, Clin Ctr Serbia, Dept Cardiol, Belgrade, Serbia;Univ Belgrade, Fac Med, Belgrade, Serbia (author)
  • Meeks, BrandiPopulation Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton Ontario, Canada,McMaster Univ, Hamilton Hlth Sci, Populat Hlth Res Inst, Hamilton, ON, Canada (author)
  • Fröbert, Ole,1964-Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiology,Orebro Univ, Fac Hlth, Sodra Grev Rosengatan, Dept Cardiol, Orebro, Sweden(Swepub:oru)oft (author)
  • Zijlstra, FelixDepartment of Cardiology, Thorax Center, Erasmus Medical Center, Rotterdam, The Netherlands,Erasmus MC, Thorax Ctr, Dept Cardiol, Rotterdam, Netherlands,Erasmus University Medical Center (author)
  • Department of Cardiology, Thorax Center, Erasmus Medical Center, Rotterdam, The Netherlands; Department of Cardiology, Sint Franciscus Gasthuis, Rotterdam, The NetherlandsSt Franciscus Gasthuis, Dept Cardiol, Kleiweg 500,POB 10900, NL-3004 BA Rotterdam, Netherlands;Erasmus MC, Thorax Ctr, Dept Cardiol, Rotterdam, Netherlands (creator_code:org_t)

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  • In:European Heart Journal: Oxford University Press39:26, s. 2472-24790195-668X1522-9645

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