Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II

Mateusz Tajstra; Damian Łasocha; Elżbieta Gadula-Gacek; Mateusz Ostręga; Lidia Michalak; Dariusz Wojciechowski; Marek Zieliński; Maciej Kempa; Zbigniew Orski; Anna Polewczyk; Jerzy Ozga; Camilla Normand; Kenneth Dickstein; Cecilia Linde; Jarosław Kaźmierczak; Łukasz Szumowski; Mariusz Gąsior; Maciej Sterliński

doi:10.5114/aic.2019.90223

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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Original paper

Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II

Mateusz Tajstra

¹

,

Damian Łasocha

²

,

Elżbieta Gadula-Gacek

¹

,

Mateusz Ostręga

¹

,

Lidia Michalak

³

,

Dariusz Wojciechowski

⁴

,

Marek Zieliński

⁵

,

Maciej Kempa

⁶

,

Zbigniew Orski

⁷

,

Anna Polewczyk

⁸

,

Jerzy Ozga

⁹

,

Camilla Normand

¹⁰

,

Kenneth Dickstein

¹⁰

,

Cecilia Linde

¹¹

,

Jarosław Kaźmierczak

¹²

,

Łukasz Szumowski

²

,

Mariusz Gąsior

¹

,

Maciej Sterliński

²

3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland

Department of Arrhythmia, Institute of Cardiology, Warsaw, Poland

1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland

Department of Cardiology, Wolski Hospital, Warsaw, Poland

Department of Cardiology, Ludwik Perzyna Provincial Polyclinical Hospital, Kalisz, Poland

Department of Cardiology and Electrotherapy, Medical University of Gdansk, Poland

Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland

Department of Cardiology, Swietokrzyskie Cardiology Center, Kielce, Poland

Cardiology Department II and Intensive Care Unit, Independent Public Complex Hospital, Stalowa Wola, Poland

10.

Cardiology Division, Stavanger University Hospital, Stavanger, Norway

11.

Heart and Vessels Theme, Karolinska University Hospital, Stockholm, and Karolinska Institute, Stockholm, Sweden

12.

Department of Cardiology, Pomeranian Medical University, Szczecin, Poland

Adv Interv Cardiol 2019; 15, 4 (58): 477–484

DOI: https://doi.org/10.5114/aic.2019.90223

Online publish date: 2019/12/08

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AMA

Tajstra M, Łasocha D, Gadula-Gacek E, et al. Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(4):477-484. doi:10.5114/aic.2019.90223.

APA

Tajstra, M., Łasocha, D., Gadula-Gacek, E., Ostręga, M., Michalak, L.,  & Wojciechowski, D. et al. (2019). Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(4), 477-484. https://doi.org/10.5114/aic.2019.90223

Chicago

Tajstra, Mateusz, Damian Łasocha, Elżbieta Gadula-Gacek, Mateusz Ostręga, Lidia Michalak, Dariusz Wojciechowski,  and Marek Zieliński et al. 2019. "Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 15 (4): 477-484. doi:10.5114/aic.2019.90223.

Harvard

Tajstra, M., Łasocha, D., Gadula-Gacek, E., Ostręga, M., Michalak, L., Wojciechowski, D., Zieliński, M., Kempa, M., Orski, Z., Polewczyk, A., Ozga, J., Normand, C., Dickstein, K., Linde, C., Kaźmierczak, J., Szumowski, Ł., Gąsior, M.,  and Sterliński, M. (2019). Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(4), pp.477-484. https://doi.org/10.5114/aic.2019.90223

MLA

Tajstra, Mateusz et al. "Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 15, no. 4, 2019, pp. 477-484. doi:10.5114/aic.2019.90223.

Vancouver

Tajstra M, Łasocha D, Gadula-Gacek E, Ostręga M, Michalak L, Wojciechowski D et al. Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(4):477-484. doi:10.5114/aic.2019.90223.

Introduction
CRT Survey II was initiated by the European Heart Rhythm Association and the Heart Failure Association, to explore everyday implantation practice of cardiac resynchronization therapy (CRT) devices in a broad spectrum of hospitals in European Society of Cardiology (ESC) member countries.

Aim
To compare Polish and European procedural practice.

Material and methods
Procedural details of Polish patients collected in 37 Polish centres (n = 1241 – Poland group) were compared to the patients enrolled throughout Europe (n = 9847 – CRT II Survey group).

Results
There were significant differences in: successful implantation (96.1% vs. 97.4%), type of device implanted (for CRT-D: 87% vs. 67.6%), implanting physician subspecialty (for electrophysiologist: 69.2% vs. 79.8%), type of location of procedure (for operating room: 19.4% vs. 8.9%), duration of procedure (117.8 ±44 vs. 97.5 ±46.1 min), left ventricle lead type (for multipolar lead: 50% vs. 57.9%), coronary sinus venogram with occlusion rate (41.4% vs. 47.9%) and peri-procedural complication rate (7.5% vs. 5.3%) between Poland and CRT II Survey groups, respectively.

Conclusions
This study provides important information describing current differences in Polish procedural routines in relation to ESC member countries. Heterogeneous CRT implantation practices across European countries still exist. However, it may be related to different clinical profile of patients qualified for CRT implantation in Poland as well as organization of care.

keywords:

Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II

cardiac resynchronisation therapy, chronic heart failure, survey