Clinical outcomes in nonagenarians undergoing a percutaneous coronary intervention

Tokarek, Tomasz; Siudak, Zbigniew; Dziewierz, Artur; Rakowski, Tomasz; Krycińska, Róża; Siwiec, Andżelika; Dudek, Dariusz

doi:10.1097/mca.0000000000000649

Cited by 10 publications

(8 citation statements)

References 23 publications

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“…Sielski et al and Tokarek et al analyzed the aspect of perioperative death among patients in the ORPKI database and found significant correlations between sudden pre-hospital cardiac arrest in ACS and perioperative death from ACS [ 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

The Most Relevant Factors Affecting the Perioperative Death Rate in Patients with Acute Coronary Syndrome and COVID-19, Based on Annual Follow-Up in the ORPKI Registry

et al. 2021

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Background: The COVID-19 pandemic is significantly affecting the functioning of the entire healthcare system. The disease itself may be associated with thromboembolic complications. The purpose of this study is to compare patients with acute coronary syndrome (ACS) and patients with ACS who were diagnosed with COVID-19 in terms of their clinical profile, management, treatment complications, and prognosis. Methods: We analyzed 47,940 cases of patients treated for ACS in 2020, including 44,952 patients (93.8%) who were not diagnosed with COVID-19 and 2988 patients (6.2%) who tested positive for COVID-19. Results: Patients with COVID-19 were significantly more likely to experience out-of-hospital sudden cardiac arrest (7.9 vs. 1.1%; p < 0.0001) and be transported directly to a catheterization laboratory (21.3% vs. 8.1%; p < 0.0001). Mortality was significantly higher in this group (0.9% vs. 0.4%; p < 0.0001). The risk of perioperative death was increased by age over 65 years, use of glycoprotein IIb/IIIa inhibitors (GPI IIb/IIIa), femoral access, critical left main stem coronary artery (LMCA) vascular lesions, ST elevation myocardial infarction (STEMI), and no-reflow phenomenon. Conclusions: Despite the pandemic, patients with COVID-19 were treated equally to healthy patients. Efficient organization of the healthcare system allowed the prompt transportation of patients to catheterization laboratories. The study group was characterized by a worse prognosis that was affected by multiple factors.

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Section: Discussionmentioning

confidence: 99%

The Most Relevant Factors Affecting the Perioperative Death Rate in Patients with Acute Coronary Syndrome and COVID-19, Based on Annual Follow-Up in the ORPKI Registry

et al. 2021

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“…A complete description and design of the ORPKI national registry were reported in previous studies [3,5,[13][14][15]. In brief, the ORPKI is an electronic database accumulating all PCI procedures in interventional cardiology in Poland.…”

Section: Methodsmentioning

confidence: 99%

Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

Tokarek¹,

Dziewierz²,

Plens³

et al. 2021

Polish Archives of Internal Medicine

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited, distributed under the same license, and used for noncommercial purposes only.

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“…A detailed description of the ORPKI national PCI registry was presented previously [7,11,12,13,14]. Briefly, the ORPKI is an electronic database on all percutaneous procedures in interventional cardiology centers performed in Poland and is currently operated by the Jagiellonian University Medical College in Krakow.…”

Section: Methodsmentioning

confidence: 99%

Radial Approach Expertise and Clinical Outcomes of Percutanous Coronary Interventions Performed Using Femoral Approach

Tokarek

Dziewierz

Plens

et al. 2019

JCM

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We sought to evaluate the impact of experience and proficiency with radial approach (RA) on clinical outcomes of percutaneous coronary interventions (PCI) performed via femoral approach (FA) in the “real-world” national registry. A total of 539 invasive cardiologists performing PCIs in 151 invasive cardiology centers in Poland between 2014 and 2017 were included. Proficiency threshold was set at >300 PCIs during four consecutive years per individual operator. The majority of operators performed >75% of all PCIs via RA (449 (65.4%)), 143 (20.8%) in 50–75% of cases, 62 (9.0%) in 25–50% and only 33 (4.8%) invasive cardiologists were using RA in <25% of all PCIs. Operators with the highest proficiency in RA were associated with increased risk of periprocedural death, stroke and bleeding complications at access site during angiography via FA. Similarly, higher prevalence of periprocedural mortality during PCI with FA was observed in most experienced radial operators as compared to other groups. The detrimental effect of FA utilization by the most experienced radial operators was observed in both stable angina and acute coronary syndromes. Higher experience and utilization of RA might be linked to worse outcomes of PCIs performed via femoral artery in both stable and acute settings.

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Clinical outcomes in nonagenarians undergoing a percutaneous coronary intervention

Abstract: Nonagenarians undergoing PCI because of SA may have similar outcomes as patients younger than 90 years. In ACS presentation, they may have worse outcomes than younger counterparts.

Cited by 10 publications

References 23 publications

The Most Relevant Factors Affecting the Perioperative Death Rate in Patients with Acute Coronary Syndrome and COVID-19, Based on Annual Follow-Up in the ORPKI Registry

The Most Relevant Factors Affecting the Perioperative Death Rate in Patients with Acute Coronary Syndrome and COVID-19, Based on Annual Follow-Up in the ORPKI Registry

Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

Radial Approach Expertise and Clinical Outcomes of Percutanous Coronary Interventions Performed Using Femoral Approach

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