Current trends and procedural outcomes in the era of rotational atherectomy expansion in Poland in the period 2014–2017 (based on the nationwide ORPKI registry)

Abstract

Introduction The availability of rotational atherectomy (RA) has recently increased in Poland, which was followed by an increase in the rate of RA procedures and catheterization laboratories performing RA. Aim To assess current trends regarding the rapid increase in the number of RA procedures and catheterization laboratories performing RA. Material an methods We analyzed patients treated with percutaneous coronary intervention (PCI) in the years 2014–2017 available in the nationwide ORPKI dataset. From the overall 431,467 patients treated with PCI, we extracted 1,873 treated with RA. We analyzed the relationship between frequency of RA usage, its distribution between low and high volume centers and procedural outcomes, procedural-related complications and the PCI effectiveness expressed as the target vessel patency rate after PCI. Results The number of RA procedures increased from 181 in 2014 (0.19%) to 698 in 2017 (0.61%), with an over two-fold increase in the number of catheterization laboratories performing RA from 25 (15.5%) in 2014 to 55 (34.1%) in 2017. Besides the fact that patient characteristics have changed in the most recent years, the rate of procedural success expressed as procedure-related complications remained stable in the 3 years 2015–2017 and was around 3%, while the procedural effectiveness expressed as patent target coronary artery after PCI was stable and over 98% in all of the analyzed years. Conclusions Along with the increasing number of RA procedures and catheterization laboratories performing RA in Poland, the procedural effectiveness remained stable during an observational period of 4 years.

Five-year report from the Polish national registry on percutaneous coronary interventions with a focus on coronary artery perforations within chronic total occlusions

“…Data for conducting the current study were obtained from the National Registry of Percutaneous Coronary Interventions (ORPKI). The registry has been described in previously published papers [ 12 ]. Data were collected from the registry between January 2014 and December 2018.…”

Transradial and Transfemoral Approach in Patients with Prior Coronary Artery Bypass Grafting

“…This retrospective analysis was performed on prospectively collected data [10]. Data for conducting the current analysis were obtained from the national registry of percutaneous coronary interventions (ORPKI) maintained in cooperation with the Association of Cardiovascular Interventions (AISN) of the Polish Cardiac Society.…”

“…Data for conducting the current analysis were obtained from the national registry of percutaneous coronary interventions (ORPKI) maintained in cooperation with the Association of Cardiovascular Interventions (AISN) of the Polish Cardiac Society. The registry has been characterized in previously published papers [10]. The study covered data obtained from the registry between January 2014 and December 2018.…”

“…It has been established over the last decades that coronary angiography and possible PCI procedures in patients following prior CABG operations were preferably performed with the use of TFA [9]. This substantially distinguishes the mentioned subgroup of patients from the overall group treated with PCI, for which TRA has become more popular in recent years [10]. Another issue typical for the group of patients with prior history of CABG is the fact that among patients with TRA, left TRA is more common than right.…”

Interventional cardiology in Poland in 2019. Summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society (AISN PTK) and Jagiellonian University Medical College*

“…The database is endorsed by Association of Cardiovascular Interventions of the Polish Cardiac Society (AISN PTK) and is operated by the Jagiellonian University Medical College, with currently 153 interventional cardiology centers in Poland reporting daily. The ORPKI database analysis of various trends and patterns is published each year [3][4][5]. On 31 st of December 2019 there were 541 percutaneous coronary intervention (PCI) operators and 32 diagnosticians certified by AISN PTK in Poland.…”