eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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vol. 15

Interventional cardiology procedures in Poland in 2018. Summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society (AISN PTK) and Jagiellonian University Medical College

Dariusz Dudek
Zbigniew Siudak
Marek Grygier
Aleksander Araszkiewicz
Maciej Dąbrowski
Jacek Kusa
Michał Hawranek
Zenon Huczek
Paweł Kralisz
Tomasz Roleder
Stanisław Bartuś
Wojciech Wojakowski

Adv Interv Cardiol 2019; 15, 4 (58): 391–393
Online publish date: 2019/12/08
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The ORPKI (Ogólnopolski Rejestr Procedur Kardiologii Inwazyjnej) electronic data capture is continuously modified to address the changing landscape of interventional cardiology procedures in Poland, especially the growing number of structural heart disease interventions and changes in practice recommendations such as multivessel percutaneous coronary intervention (PCI) in ST-segment elevation myocardial intervention (STEMI). It is endorsed by Association of Cardiovascular Interventions of the Polish Cardiac Society (Asocjacja Interwencji Sercowo-Naczyniowych Polskiego Towarzystwa Kardiologicznego – AISN PTK) and operated by the Jagiellonian University Medical College and includes 163 interventional cardiology centers in Poland (total number the same as in 2017), of which 95 are formally accredited by AISN PTK. Currently there are 613 certified PCI operators in Poland. AISN PTK conducts the PCI and transcatheter aortic valve implantation (TAVI) operators’ certification process based on the previously published eligibility criteria. The ORPKI database not only allows the nationwide monitoring of the procedural trends but also documents individual operators’ procedural volumes.
According to current analysis of the ORPKI database in comparison to 2017, there was a decrease in the total number of coronary angiographies (CAG) [1]. There were 182 226 CAG (4733 per 1 million inhabitants per year) in 2018, which corresponds to a decrease of 8.1% compared to 2017 (Figure 1). This trend has been observed since 2015, and current numbers correspond to those of the year 2010. In terms of procedural features in 2018 we observed a 2% increase in the use of the radial approach for coronary angiography (86%), also with high, similar to 2017, prevalence among STEMI patients (75%). This trend is reassuring because it adheres to the current recommendations of European Society of Cardiology (ESC) Guidelines and improves patient outcomes. Complications of coronary angiography in 2018 are presented in Table I.
The total number of PCI procedures was 104 283 and was lower by 8.7% (2709 PCIs per 1 million inhabitants per year) than reported to the ORPKI database in 2017 (Figure 1). The majority of the procedures were indicated by the acute coronary syndromes (ACS): 35% acute myocardial infarction (19% STEMI and 20% non-ST-segment elevation myocardial intervention (NSTEMI)), 26% unstable angina (decrease by 4% from 2017) and the remaining 35% for stable angina....

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