The Polish Interventional Cardiology TAVI Survey (PICTS) : adoption and practice of transcatheter aortic valve implantation in Poland

2017
journal article
article
10
dc.abstract.enIntroduction: Few studies have assessed the development of transcatheter aortic valve implantation (TAVI) in Poland since its introduction in 2008, and data on current TAVI activity or practice are missing. Aim: To assess the dynamics of TAVI adoption in Poland and to detect differences among Polish centres in TAVI practice and decision-making. Material and methods: The Polish Interventional Cardiology TAVI Survey (PICTS) was approved by the Polish Association of Cardiovascular Interventions and presented to all 21 national TAVI centres. Between 2008 and 2015 the cumulative number of TAVI performed in Poland was 2189. The annual number of TAVI rose from 8 in 2008 to 670 in 2015 (0.21 to 17.4 implants per million inhabitants, respectively). Results: The median TAVI experience per centre was 80 procedures (95% CI: 38.1–154.6). In 2015 the TAVI penetration rate reached 5.12% of the estimated eligible Polish population. Inoperable and high-risk patients are treated with TAVI in all centres, with 52% of Heart Teams also qualifying medium-risk patients. The rate of transfemoral implantations increased to 83.2% of all procedures in 2015, while transapical implantations decreased to 12%. The frequency of subclavian, direct aortic or transcarotid routes in 2015 was below 3% each. Conclusions: The PICTS survey observed a positive but slow rate of adoption of TAVI in Poland. When compared to Western European countries, our findings highlight a significant treatment gap in high or prohibitive surgical risk patients with severe aortic stenosis. Remarkable variations in TAVI practices among Polish TAVI centres warrant publication of joint national guidelines and recommendations.pl
dc.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.cm.date2020-01-07
dc.cm.id81789
dc.contributor.authorParma, Radosławpl
dc.contributor.authorDąbrowski, Maciejpl
dc.contributor.authorOchała, Andrzejpl
dc.contributor.authorWitkowski, Adampl
dc.contributor.authorDudek, Dariusz - 129271 pl
dc.contributor.authorSiudak, Zbigniew - 152463 pl
dc.contributor.authorLegutko, Jacek - 130630 pl
dc.date.accessioned2020-01-17T09:15:32Z
dc.date.available2020-01-17T09:15:32Z
dc.date.issued2017pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number1 (47)pl
dc.description.physical10-17pl
dc.description.points15pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume13pl
dc.identifier.doi10.5114/aic.2017.66181pl
dc.identifier.eissn1897-4295pl
dc.identifier.issn1734-9338pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/140346
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.enheart failurepl
dc.subject.entranscatheter aortic valve implantationpl
dc.subject.entranscatheter aortic valve replacementpl
dc.subject.enaortic valve stenosispl
dc.subject.enHeart Teampl
dc.subject.enaortic valve regurgitationpl
dc.subtypeArticlepl
dc.titleThe Polish Interventional Cardiology TAVI Survey (PICTS) : adoption and practice of transcatheter aortic valve implantation in Polandpl
dc.title.journalPostępy w Kardiologii Interwencyjnejpl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Introduction: Few studies have assessed the development of transcatheter aortic valve implantation (TAVI) in Poland since its introduction in 2008, and data on current TAVI activity or practice are missing. Aim: To assess the dynamics of TAVI adoption in Poland and to detect differences among Polish centres in TAVI practice and decision-making. Material and methods: The Polish Interventional Cardiology TAVI Survey (PICTS) was approved by the Polish Association of Cardiovascular Interventions and presented to all 21 national TAVI centres. Between 2008 and 2015 the cumulative number of TAVI performed in Poland was 2189. The annual number of TAVI rose from 8 in 2008 to 670 in 2015 (0.21 to 17.4 implants per million inhabitants, respectively). Results: The median TAVI experience per centre was 80 procedures (95% CI: 38.1–154.6). In 2015 the TAVI penetration rate reached 5.12% of the estimated eligible Polish population. Inoperable and high-risk patients are treated with TAVI in all centres, with 52% of Heart Teams also qualifying medium-risk patients. The rate of transfemoral implantations increased to 83.2% of all procedures in 2015, while transapical implantations decreased to 12%. The frequency of subclavian, direct aortic or transcarotid routes in 2015 was below 3% each. Conclusions: The PICTS survey observed a positive but slow rate of adoption of TAVI in Poland. When compared to Western European countries, our findings highlight a significant treatment gap in high or prohibitive surgical risk patients with severe aortic stenosis. Remarkable variations in TAVI practices among Polish TAVI centres warrant publication of joint national guidelines and recommendations.
dc.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.cm.date
2020-01-07
dc.cm.id
81789
dc.contributor.authorpl
Parma, Radosław
dc.contributor.authorpl
Dąbrowski, Maciej
dc.contributor.authorpl
Ochała, Andrzej
dc.contributor.authorpl
Witkowski, Adam
dc.contributor.authorpl
Dudek, Dariusz - 129271
dc.contributor.authorpl
Siudak, Zbigniew - 152463
dc.contributor.authorpl
Legutko, Jacek - 130630
dc.date.accessioned
2020-01-17T09:15:32Z
dc.date.available
2020-01-17T09:15:32Z
dc.date.issuedpl
2017
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
1 (47)
dc.description.physicalpl
10-17
dc.description.pointspl
15
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
13
dc.identifier.doipl
10.5114/aic.2017.66181
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/140346
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
heart failure
dc.subject.enpl
transcatheter aortic valve implantation
dc.subject.enpl
transcatheter aortic valve replacement
dc.subject.enpl
aortic valve stenosis
dc.subject.enpl
Heart Team
dc.subject.enpl
aortic valve regurgitation
dc.subtypepl
Article
dc.titlepl
The Polish Interventional Cardiology TAVI Survey (PICTS) : adoption and practice of transcatheter aortic valve implantation in Poland
dc.title.journalpl
Postępy w Kardiologii Interwencyjnej
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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