Bailout rotational atherectomy in patients with myocardial infarction is not associated with an increased periprocedural complication rate or poorer angiographic outcomes in comparison to elective procedures (from the ORPKI Polish National Registry 2015-2016)

2018
journal article
article
13
cris.lastimport.wos2024-04-10T02:49:46Z
dc.abstract.enIntroduction: Many years of experience and refinement of existing rotational atherectomy (RA) techniques have resulted in improved clinical outcomes and a tendency to broaden the spectrum of RA usage. Aim: To compare the angiographic effectiveness and periprocedural complications in patients with stable angina (SA) and acute myocardial infarction (AMI) treated using RA. Material and methods: Data were prospectively collected using the Polish Cardiovascular Intervention Society national registry (ORPKI) on all percutaneous coronary interventions (PCIs) performed in Poland in 2015 and 2016. In total, 975 RA procedures were recorded out of 221,187 PCI procedures. Results: We compared angiographic effectiveness and periprocedural complications in 530 patients with SA and 245 with AMI in the RA group of patients, and 60,522 patients with SA and 91,985 with AMI in the non-RA group. The overall rate of periprocedural complications did not differ between SA and AMI patients in the RA group (2.3% vs. 2.0%; p = 0.84), while it was lower in AMI patients from the RA group compared to those from the non-RA group (2.0% vs. 3.0%; p = 0.34). The percentage of patients with angiographic success in the RA group was similar to the non-RA group in SA patients (97.3% vs. 97.1%; p = 0.75), whereas in the AMI group it was significantly higher compared to the non-RA group (96.7% vs. 92.6%; p < 0.001). Conclusions: The angiographic effectiveness of PCI with RA in patients with AMI was not worse than in patients with SA.pl
dc.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.cm.date2020-01-07
dc.cm.id89666
dc.contributor.authorJanuszek, Rafał Adampl
dc.contributor.authorSiudak, Zbigniew - 152463 pl
dc.contributor.authorDziewierz, Artur - 241962 pl
dc.contributor.authorRakowski, Tomasz - 241963 pl
dc.contributor.authorLegutko, Jacek - 130630 pl
dc.contributor.authorDudek, Dariusz - 129271 pl
dc.contributor.authorBartuś, Stanisław - 227828 pl
dc.date.accessioned2020-01-17T09:59:02Z
dc.date.available2020-01-17T09:59:02Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number2 (52)pl
dc.description.physical135-143pl
dc.description.points15pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume14pl
dc.identifier.doi10.5114/aic.2018.76404pl
dc.identifier.eissn1897-4295pl
dc.identifier.issn1734-9338pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/143469
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enpercutaneous coronary interventionpl
dc.subject.enangioplastypl
dc.subject.enacute myocardial infarctionpl
dc.subject.enrotablationpl
dc.subject.enperiprocedural complicationspl
dc.subject.enangiographic effectivenesspl
dc.subtypeArticlepl
dc.titleBailout rotational atherectomy in patients with myocardial infarction is not associated with an increased periprocedural complication rate or poorer angiographic outcomes in comparison to elective procedures (from the ORPKI Polish National Registry 2015-2016)pl
dc.title.journalPostępy w Kardiologii Interwencyjnejpl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T02:49:46Z
dc.abstract.enpl
Introduction: Many years of experience and refinement of existing rotational atherectomy (RA) techniques have resulted in improved clinical outcomes and a tendency to broaden the spectrum of RA usage. Aim: To compare the angiographic effectiveness and periprocedural complications in patients with stable angina (SA) and acute myocardial infarction (AMI) treated using RA. Material and methods: Data were prospectively collected using the Polish Cardiovascular Intervention Society national registry (ORPKI) on all percutaneous coronary interventions (PCIs) performed in Poland in 2015 and 2016. In total, 975 RA procedures were recorded out of 221,187 PCI procedures. Results: We compared angiographic effectiveness and periprocedural complications in 530 patients with SA and 245 with AMI in the RA group of patients, and 60,522 patients with SA and 91,985 with AMI in the non-RA group. The overall rate of periprocedural complications did not differ between SA and AMI patients in the RA group (2.3% vs. 2.0%; p = 0.84), while it was lower in AMI patients from the RA group compared to those from the non-RA group (2.0% vs. 3.0%; p = 0.34). The percentage of patients with angiographic success in the RA group was similar to the non-RA group in SA patients (97.3% vs. 97.1%; p = 0.75), whereas in the AMI group it was significantly higher compared to the non-RA group (96.7% vs. 92.6%; p < 0.001). Conclusions: The angiographic effectiveness of PCI with RA in patients with AMI was not worse than in patients with SA.
dc.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.cm.date
2020-01-07
dc.cm.id
89666
dc.contributor.authorpl
Januszek, Rafał Adam
dc.contributor.authorpl
Siudak, Zbigniew - 152463
dc.contributor.authorpl
Dziewierz, Artur - 241962
dc.contributor.authorpl
Rakowski, Tomasz - 241963
dc.contributor.authorpl
Legutko, Jacek - 130630
dc.contributor.authorpl
Dudek, Dariusz - 129271
dc.contributor.authorpl
Bartuś, Stanisław - 227828
dc.date.accessioned
2020-01-17T09:59:02Z
dc.date.available
2020-01-17T09:59:02Z
dc.date.issuedpl
2018
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
2 (52)
dc.description.physicalpl
135-143
dc.description.pointspl
15
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
14
dc.identifier.doipl
10.5114/aic.2018.76404
dc.identifier.eissnpl
1897-4295
dc.identifier.issnpl
1734-9338
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/143469
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-SA
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
percutaneous coronary intervention
dc.subject.enpl
angioplasty
dc.subject.enpl
acute myocardial infarction
dc.subject.enpl
rotablation
dc.subject.enpl
periprocedural complications
dc.subject.enpl
angiographic effectiveness
dc.subtypepl
Article
dc.titlepl
Bailout rotational atherectomy in patients with myocardial infarction is not associated with an increased periprocedural complication rate or poorer angiographic outcomes in comparison to elective procedures (from the ORPKI Polish National Registry 2015-2016)
dc.title.journalpl
Postępy w Kardiologii Interwencyjnej
dc.typepl
JournalArticle
dspace.entity.type
Publication

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