Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.
Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
Kardiol Pol. 2023;81(10):969-977. doi: 10.33963/KP.a2023.0151. Epub 2023 Jul 4.
Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) have demonstrated improvement in the clinical outcome of patients undergoing percutaneous coronary intervention (PCI).
We aimed to examine the frequency of implementing OCT and IVUS during coronary angiography (CA) and PCI in everyday practice in Poland. Factors related to the more common choice of these imaging techniques were determined.
Data from the Polish National Registry of Percutaneous Coronary Interventions (ORPKI) were procured for analysis. Between January 2014 and December 2021, we extracted data on 1 452 135 CAs, 11 710 using IVUS (0.8%) and 1471 with OCT (0.1%) and 838 297 PCIs, 15 436 with IVUS (1.8%) and 1680 with OCT (0.2%). We assessed the determining factors for applying IVUS and OCT via multiple regression logistics models.
The frequency of applying IVUS during CAs and PCIs increased significantly between the years 2014 and 2021. In 2021, it reached 1.54% for CAs and 4.42% for PCIs, while for OCT, there was a rise regarding the CA group, namely 0.13% in 2021, and, in the PCI group, 0.43%. Age was one of the factors significantly associated with the frequency of using IVUS/OCT during CA/PCI, which was confirmed by multivariate analysis (Odds ratio: 0.981 for IVUS and 0.973 for OCT use with PCI).
The frequency at which IVUS and OCT were used has undergone a significant increase in previous years. This increase can be largely attributed to the current reimbursement policies. Further improvement is required for this frequency to be at a satisfactory level.
血管内超声（IVUS）和光相干断层扫描（OCT）已证明可改善经皮冠状动脉介入治疗（PCI）患者的临床结局。
我们旨在检查在波兰日常实践中，冠状动脉造影（CA）和 PCI 过程中 OCT 和 IVUS 的实施频率。确定与这些成像技术更常见选择相关的因素。
我们从波兰全国经皮冠状动脉介入治疗登记处（ORPKI）获取数据进行分析。2014 年 1 月至 2021 年 12 月，我们提取了 1452135 例 CA、11710 例 IVUS（0.8%）、1471 例 OCT（0.1%）和 838297 例 PCI、15436 例 IVUS（1.8%）和 1680 例 OCT（0.2%）的数据。我们通过多元回归逻辑模型评估了应用 IVUS 和 OCT 的决定因素。
CA 和 PCI 过程中 IVUS 的应用频率在 2014 年至 2021 年间显著增加。2021 年，CA 中的 IVUS 频率达到 1.54%，PCI 中的 IVUS 频率达到 4.42%，而 OCT 中 CA 组的频率有所上升，即 2021 年为 0.13%，PCI 组的频率为 0.43%。年龄是与 CA/PCI 期间 IVUS/OCT 应用频率显著相关的因素之一，这一点通过多变量分析得到证实（IVUS 使用的优势比为 0.981，OCT 使用的优势比为 0.973）。
近年来，IVUS 和 OCT 的应用频率显著增加。这种增加在很大程度上可以归因于当前的报销政策。为了达到令人满意的水平，还需要进一步提高这一频率。
