Temporal trends in the use of drug-coated balloons in Poland — an analysis based on the national registry
Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: There has been increasing interest in drug-coated balloons (DCB) within the scientific and medical community in recent years. The aim of this study was to investigate the temporal trends of DCB utilization stratified by the type of target lesion, based on a large prospective national registry. METHODS: The data for conducting the current analysis were obtained from the National Registry of Percutaneous Coronary Interventions (ORPKI, Ogólnopolski Rejestr Procedur Kardiologii Inwazyjnej), maintained in cooperation with the Association of Cardiovascular Interventions (AISN, Asocjacja Interwencji Sercowo-Naczyniowych) of the Polish Cardiac Society. The study covered data collected between January 2014 and December 2022. During this period, there were 170 active catheterization laboratories in which 899,635 percutaneous coronary intervention (PCI) procedures were performed. Among them, 5827 (0.65%) patients were treated with DCB and drug-eluting stents, 11,649 (1.29%) were treated with DCB only, and 882,159 (98.06%) were treated without DCB. RESULTS: The frequency of DCB use during PCI increased across all main angiographic indications as follows: from 0.54% in 2014 to 1.02% in 2022 (p < 0.001) for de novo lesions, from 15.31% in 2014 to 33.95% in 2022 (p < 0.001) for in-stent restenosis, and from 2.41% in 2014 to 5.29% in 2022 (p < 0.001) for in-stent thrombosis. Similarly, there was a statistically significant increase in the frequency of DCB use among the following selected clinical presentations: acute heart failure (p = 0.037), cardiac arrest (p = 0.015), non-ST segment elevation myocardial infarction (p < 0.001), chronic coronary syndromes (p < 0.001), and unstable angina (p < 0.001). CONCLUSIONS: The frequency of DCB use has been constantly increasing in recent years, regardless of angiographic indications and across different clinical scenarios.
Source: Cardiology Journal
DOI: 10.5603/cj.103075
Authors: Rafał Januszek, Sylwia Iwańczyk, Wojciech Wojakowski, Zenon Huczek, Adam Janas, Adrian Włodarczak, Rafał Wolny, Maksymilian P. Opolski, Miłosz Dziarmaga, Kamil Bujak, Michał Hawranek, Krzysztof P. Malinowski, Maciej Kaźmierski, Piotr Waciński, Paweł Gąsior, Zbigniew Siudak, Mariola Kłak, Piotr Niezgoda, Bernardo Cortese, Wojciech Wańha
Institutions: Medical University of Lodz, Andrzej Frycz Modrzewski Krakow University, Poznan University of Medical Sciences, Medical University of Lublin, Medical University of Silesia, Medical University of Warsaw, American Heart of Poland, Witelon Collegium State University, Institute of Cardiology, Jagiellonian University, Jan Kochanowski University, Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, National Research Council
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $900
OpenAlex ID: W4415928374