Januszek Rafał, Siudak Zbigniew, Reczuch Krzysztof, Dobrzycki Sławomir, Lesiak Maciej, Legutko Jacek, Kleczyński Paweł, Rzeszutko Łukasz, Dudek Dariusz, Bartuś Stanisław
2 Department of Cardiology, University Hospital, Krakow, Poland.
Department of Internal Medicine, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
Postepy Kardiol Interwencyjnej. 2019;15(2):158-166. doi: 10.5114/aic.2019.81387. Epub 2019 Jan 18.
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.
To assess current trends regarding the rapid increase in the number of RA procedures and catheterization laboratories performing RA.
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.
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.
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.
近年来，旋磨术（RA）在波兰的可及性有所提高，随之而来的是RA手术数量以及开展RA手术的导管室数量均有所增加。
评估RA手术数量及开展RA手术的导管室数量快速增长的当前趋势。
我们分析了2014 - 2017年全国性ORPKI数据集中接受经皮冠状动脉介入治疗（PCI）的患者。在总共431,467例接受PCI治疗的患者中，我们提取出1,873例接受RA治疗的患者。我们分析了RA使用频率、其在低手术量和高手术量中心之间的分布与手术结果、手术相关并发症以及以PCI术后靶血管通畅率表示的PCI有效性之间的关系。
RA手术数量从2014年的181例（0.19%）增加到2017年的698例（0.61%），开展RA手术的导管室数量增加了两倍多，从2014年的25家（15.5%）增至2017年的55家（34.1%）。除了近年来患者特征发生变化外，以手术相关并发症表示的手术成功率在2015 - 2017年这3年中保持稳定，约为3%，而以PCI术后冠状动脉通畅表示的手术有效性保持稳定，在所有分析年份中均超过98%。
随着波兰RA手术数量及开展RA手术的导管室数量不断增加，在4年的观察期内手术有效性保持稳定。
