A New Era for Rotational Atherectomy: An Australian Perspective.

IF 2.3 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Clinical Medicine Insights. Cardiology Pub Date : 2019-06-07 eCollection Date: 2019-01-01 DOI:10.1177/1179546819852070

Paul Bamford, Michael David Parkinson, Brendan Gunalingam, Michael David, George Tat-Ming Lau

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引用次数: 1

Abstract

Background: Rotational atherectomy (RA) has been used in percutaneous coronary intervention (PCI) for 30 years. With advances in technology, this observational study looks at how rates of RA have changed over the past decade in Australia in relation to PCI and coronary artery bypass graft (CABG) rates.

Methods: Retrospective analysis of RA, PCI, and CABG rates per Australian state from Australian Government Department of Human Services' data on Medicare items from 2007 to 2017 was carried out.

Results: There were 149 RA procedures in 2007, increasing to 452 in 2017. Rotational atherectomy accounted for 0.67% of PCI procedures in 2007, increasing to 1.48% in 2018 (+0.81%, 95% confidence interval [CI] = [0.64%-0.91%]; P < .001). Most of this increase has come from procedures in New South Wales (441% increase). Australian PCI rate increased from 22 301 to 30 480. Rate of CABG decreased from 5418 to 5206.

Conclusions: From 2007 to 2017, rates of RA trebled in Australia. This is despite stable rates of PCI and a fall in rates of CABG. There are several clinical explanations for this trend.

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旋转动脉粥样硬化切除术的新时代:澳大利亚的观点。

背景:旋转动脉粥样硬化切除术(RA)用于经皮冠状动脉介入治疗(PCI)已有30年的历史。随着技术的进步，这项观察性研究着眼于过去十年来澳大利亚RA发病率与PCI和冠状动脉旁路移植术(CABG)发病率的变化。方法:回顾性分析澳大利亚政府人类服务部2007年至2017年医疗保险项目数据中澳大利亚各州的RA、PCI和CABG发生率。结果:2007年有149例RA手术，2017年增加到452例。2007年旋转动脉粥样硬化切除术占PCI手术的0.67%，2018年增加到1.48%(+0.81%，95%可信区间[CI] = [0.64%-0.91%];结论:从2007年到2017年，澳大利亚RA的发病率增加了两倍。这是在PCI率稳定和CABG率下降的情况下发生的。这一趋势有几个临床解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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