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*

摘要

As previously reported, the ORPKI electronic data capture is monitored continuously and modified according to the needs of the rapidly changing everyday practice of interventional cardiology not only in Poland but also worldwide [1, 2]. 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 [3–5]. On 31st of December 2019 there were 541 percutaneous coronary intervention (PCI) operators and 32 diagnosticians certified by AISN PTK in Poland. According to the current analysis of the ORPKI database, in comparison to 2018, there was a substantial decrease in the total number of reported coronary angiographies (CAG) [1]. There were 172 521 CAG [(4481 per 1 million inhabitants per year) in 2019, which corresponds to a decrease of 5.5% vs. 2018 (Figure 1). This trend has been observed since 2015, and current numbers are comparable to that of the year 2009. The distribution of primary diagnosis as indications for CAG was: 11% ST-elevation myocardial infarction (STEMI), 14% non-ST-elevation myocardial infarction (NSTEMI), 26% unstable angina (UA), and 49% stable angina. The radial approach was utilized in 88% of all CAG cases, which is a 2% rise in comparison to 2018 (in STEMI patients, 85% had the radial access site used). Complications of coronary angiography in 2019 were rare and corresponded to the rates reported in previous years (Table I). The total number of PCI procedures was 101 716 and is 2.9% lower (2642 PCIs per 1 million inhabitants per year) than that reported to the ORPKI database in 2018 (Figure 1). The majority of the procedures were done in the setting of the acute coronary syndromes (ACS): 40% acute myocardial infarction (20% STEMI and 20% NSTEMI), 24% unstable angina (decrease by 2% from 2018) and the remaining 36% for stable angina. The number of primary PCI per 1 million inhabitants per year is currently 505. There were 19 440 PCIs in STEMI and 20 078 in NSTEMI. Drug-eluting stents (DES) are used in 99.9% of all cases, while bioresorbable vascular scaffold (BVS) were implanted in 66 procedures only. Rotablation was used in 1172 procedures (1.1% of PCI) – a 38% increase in comparison to the previous year. Aspiration thrombectomy was used in only...