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Factors affecting short- and long-term survival of patients with acute coronary syndrome treated invasively using intravascular ultrasound and fractional flow reserve: Analysis of data from the Polish Registry of Acute Coronary Syndromes 2017-2020.
Kaziród-Wolski, Karol; Sielski, Janusz; Gasior, Mariusz; Bujak, Kamil; Hawranek, Michal; Pyka, Lukasz; Gierlotka, Marek; Pawlowski, Tomasz; Siudak, Zbigniew.
Afiliación
  • Kaziród-Wolski K; Collegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland. karol.kazirod-wolski@ujk.edu.pl.
  • Sielski J; Collegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland.
  • Gasior M; 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Katowice, Poland.
  • Bujak K; 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Katowice, Poland.
  • Hawranek M; 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Katowice, Poland.
  • Pyka L; 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Katowice, Poland.
  • Gierlotka M; Department of Cardiology, University Hospital, Institute of Medical Sciences, University of Opole, Opole, Poland.
  • Pawlowski T; Department of Invasive Cardiology, CMKP, Warszawa, Poland.
  • Siudak Z; Collegium Medicum, Jan Kochanowski University in Kielce, Kielce, Poland.
Kardiol Pol ; 81(3): 265-272, 2023.
Article en En | MEDLINE | ID: mdl-36404732
BACKGROUND: Intravascular ultrasound (IVUS) and fractional flow reserve (FFR) are invasive procedures increasingly used in treating acute coronary syndrome (ACS). AIMS: This study aimed to evaluate the frequency of IVUS and FFR use in patients with ACS in Poland and to assess the safety of these procedures as well as their impact on short- and long-term survival. METHODS AND RESULTS: This retrospective study included 103849 patients enrolled in the Polish Registry of Acute Coronary Syndromes in 2017-2020. IVUS was performed in 1727 patients, FFR in 1537 patients, and both procedures in 37 patients. The frequency of performing FFR in ACS patients increased over the years from 1.3% to 1.8% (P <0.0001) and IVUS from 1.7% to 2.3% (P <0.0001). In the FFR and/or IVUS group, a similar incidence of stroke, reinfarction, target vessel revascularization, and major bleeding was observed while in-hospital mortality was lower (0% for IVUS + FFR vs. 0.9% for FFR vs. 2.3% for IVUS vs. 3.7 for no procedure; P <0.0001). FFR and IVUS did not affect the 30-day and one-year prognosis. CONCLUSION: In recent years, the number of FFR and IVUS procedures performed in patients with ACS in Poland has increased. There was lower in-hospital mortality in the FFR and/or IVUS group in ACS patients, and no differences in the incidence of stroke, reinfarction, target vessel revascularization, and major bleeding were observed. Performing FFR and IVUS in ACS patients does not significantly affect 30-day or one-year mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis Coronaria / Reserva del Flujo Fraccional Miocárdico / Síndrome Coronario Agudo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Kardiol Pol Año: 2023 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estenosis Coronaria / Reserva del Flujo Fraccional Miocárdico / Síndrome Coronario Agudo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Kardiol Pol Año: 2023 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia