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)

Rafał Januszek; Zbigniew Siudak; Krzysztof Reczuch; Sławomir Dobrzycki; Maciej Lesiak; Jacek Legutko; Paweł Kleczyński; Łukasz Rzeszutko; Dariusz Dudek; Stanisław Bartuś

doi:10.5114/aic.2019.81387

Abstract

2/2019 vol. 15

Original paper

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)

Rafał Januszek ¹

,

Zbigniew Siudak ²

,

Krzysztof Reczuch ³

,

Sławomir Dobrzycki ⁴

,

Maciej Lesiak ⁵

,

Jacek Legutko ⁶

,

Paweł Kleczyński ¹

,

Łukasz Rzeszutko ¹

,

Dariusz Dudek ⁶

,

Stanisław Bartuś ⁷

2nd Department of Cardiology, University Hospital, Krakow, Poland
Department of Internal Medicine, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
Department of Cardiology, 4th Military Hospital, Wroclaw, Poland
Department of Invasive Cardiology, State Teaching Hospital, Medical University of Bialystok, Bialystok, Poland
First Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland
Department of Interventional Cardiology, Jagiellonian University Medical College, Krakow, Poland
2nd Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland

Adv Interv Cardiol 2019; 15, 2 (56): 158–166

DOI: https://doi.org/10.5114/aic.2019.81387

Online publish date: 2019/01/18

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AMA

Januszek R, Siudak Z, Reczuch K, et al. 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). Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(2):158-166. doi:10.5114/aic.2019.81387.

APA

Januszek, R., Siudak, Z., Reczuch, K., Dobrzycki, S., Lesiak, M., & Legutko, J. et al. (2019). 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). Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(2), 158-166. https://doi.org/10.5114/aic.2019.81387

Chicago

Januszek, Rafał, Zbigniew Siudak, Krzysztof Reczuch, Sławomir Dobrzycki, Maciej Lesiak, Jacek Legutko, and Paweł Kleczyński et al. 2019. "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)". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 15 (2): 158-166. doi:10.5114/aic.2019.81387.

Harvard

Januszek, R., Siudak, Z., Reczuch, K., Dobrzycki, S., Lesiak, M., Legutko, J., Kleczyński, P., Rzeszutko, Ł., Dudek, D., and Bartuś, S. (2019). 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). Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 15(2), pp.158-166. https://doi.org/10.5114/aic.2019.81387

MLA

Januszek, Rafał et al. "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)." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 15, no. 2, 2019, pp. 158-166. doi:10.5114/aic.2019.81387.

Vancouver

Januszek R, Siudak Z, Reczuch K, Dobrzycki S, Lesiak M, Legutko J et al. 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). Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2019;15(2):158-166. doi:10.5114/aic.2019.81387.

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 and 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.

Keywords

percutaneous coronary interventions, rotational atherectomy, periprocedural complications, procedural effectiveness

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