Key result
CRT implantation practices in Poland differed significantly from the rest of Europe, with a lower successful implantation rate (96.1% vs. 97.4%) and a higher periprocedural complication rate (7.5% vs. 5.3%).
Why the study?
CRT Survey II was conducted to explore everyday CRT device implantation practice in a broad spectrum of hospitals across ESC member countries and compare Polish and European procedural routines.
Do CRT implantation practices, patient profiles, and periprocedural complication rates differ between Poland and other European countries?
Cross-Sectional (n=11,088)
Yes
Do CRT implantation practices, patient profiles, and periprocedural complication rates differ between Poland and other European countries?
Answers are grounded in this paper and cite their sources.
CRT implantation practices and patient profiles in Poland differ significantly from the rest of Europe, with Polish patients having a more severe clinical profile and experiencing higher periprocedural complication rates.
INTRODUCTION: CRT Survey II was initiated by the European Heart Rhythm Association and the Heart Failure Association, to explore everyday implantation practice of cardiac resynchronization therapy (CRT) devices in a broad spectrum of hospitals in European Society of Cardiology (ESC) member countries. AIM: To compare Polish and European procedural practice. MATERIAL AND METHODS: = 9847 - CRT II Survey group). RESULTS: There were significant differences in: successful implantation (96.1% vs. 97.4%), type of device implanted (for CRT-D: 87% vs. 67.6%), implanting physician subspecialty (for electrophysiologist: 69.2% vs. 79.8%), type of location of procedure (for operating room: 19.4% vs. 8.9%), duration of procedure (117.8 ±44 vs. 97.5 ±46.1 min), left ventricle lead type (for multipolar lead: 50% vs. 57.9%), coronary sinus venogram with occlusion rate (41.4% vs. 47.9%) and peri-procedural complication rate (7.5% vs. 5.3%) between Poland and CRT II Survey groups, respectively. CONCLUSIONS: This study provides important information describing current differences in Polish procedural routines in relation to ESC member countries. Heterogeneous CRT implantation practices across European countries still exist. However, it may be related to different clinical profile of patients qualified for CRT implantation in Poland as well as organization of care.
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Tajstra et al. (2019) conducted a cross-sectional in Heart failure (n=11,088). CRT implantation in Poland vs. CRT implantation in other European countries was evaluated on Successful implantation attempt (p=0.008). CRT implantation practices in Poland differed significantly from the rest of Europe, with a lower successful implantation rate (96.1% vs. 97.4%) and a higher periprocedural complication rate (7.5% vs. 5.3%).
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