COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022

Patrycja Zając; Karol Kaziród-Wolski; Janusz Sielski; Magdalena Wolska; Krzysztof Piotr Malinowski; Zbigniew Siudak

doi:10.5114/aic.2023.127893

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Original paper

COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022

Patrycja Zając

¹

,

Karol Kaziród-Wolski

²

,

Janusz Sielski

²

,

Magdalena Wolska

³

,

Krzysztof Piotr Malinowski

⁴

,

Zbigniew Siudak

²

Rheumatology Department of the Province Hospital, Końskie, Poland
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Outpatient Treatment Facility “CenterMed”, Kielce, Poland
Department of Bioinformatics and Telemedicine, Jagiellonian University Medical College, Krakow, Poland

Adv Interv Cardiol 2023; 19, 2 (72): 119–126

DOI: https://doi.org/10.5114/aic.2023.127893

Online publish date: 2023/06/05

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AMA

Zając P, Kaziród-Wolski K, Sielski J, Wolska M, Malinowski K, Siudak Z. COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2023;19(2):119-126. doi:10.5114/aic.2023.127893.

APA

Zając, P., Kaziród-Wolski, K., Sielski, J., Wolska, M., Malinowski, K.,  & Siudak, Z. (2023). COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 19(2), 119-126. https://doi.org/10.5114/aic.2023.127893

Chicago

Zając, Patrycja, Karol Kaziród-Wolski, Janusz Sielski, Magdalena Wolska, Krzysztof Piotr Malinowski,  and Zbigniew Siudak. 2023. "COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 19 (2): 119-126. doi:10.5114/aic.2023.127893.

Harvard

Zając, P., Kaziród-Wolski, K., Sielski, J., Wolska, M., Malinowski, K.,  and Siudak, Z. (2023). COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 19(2), pp.119-126. https://doi.org/10.5114/aic.2023.127893

MLA

Zając, Patrycja et al. "COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 19, no. 2, 2023, pp. 119-126. doi:10.5114/aic.2023.127893.

Vancouver

Zając P, Kaziród-Wolski K, Sielski J, Wolska M, Malinowski K, Siudak Z. COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2023;19(2):119-126. doi:10.5114/aic.2023.127893.

Introduction:
Coronavirus disease 2019 (COVID-19) exacerbates intravascular thrombosis that occurs in the coronary artery in ST-elevation myocardial infarction (STEMI).

Aim:
To analyze the impact of COVID-19 on the application and effect of thrombectomy in STEMI patients.

Material and methods:
29915 STEMI patients were analyzed, of whom 3139 (10.5%) underwent thrombectomy. COVID-19 (+) was reported in 311 (10.8%). The clinical characteristics and management of STEMI in COVID-19 (+) and COVID-19 (–) patients were compared. A multivariable logistic regression analysis was performed in search of factors influencing thrombectomy.

Results:
COVID-19 (+) patients had higher Killip class (IV class; n = 33 (12.31%) vs. n = 138 (5.84%); p < 0.0001) and cardiac arrest at baseline was more frequent in this group (n = 25 (8.04%) vs. n = 137 (4.84%); p = 0.016). Thrombolysis in myocardial infarction (TIMI) 3 after percutaneous coronary intervention was less frequent (n = 248 (80.52%) vs. n = 2388 (87.19%); p = 0.001) in the COVID-19 (–) group. Periprocedural mortality was similar in both groups (n = 28 (0.99%) vs. n = 4 (1.29%); p = 0.622). In multivariable regression analysis COVID-19 increased the risk of thrombectomy (OR = 1.23; 97.5% CI: 1.05–1.43; p = 0.001).

Conclusions:
STEMI patients undergoing aspiration thrombectomy who were COVID-19 (+) were more likely to be in a severe clinical condition (higher Killip class, more frequent cardiac arrest before the procedure) than COVID-19 (–) patients. Despite more intensive antiplatelet and anticoagulant treatment, PCI procedures were less likely to result in an optimal TIMI 3 effect. COVID-19 is an independent strong predictor of patient qualification for aspiration thrombectomy in STEMI.

keywords:

COVID-19 as an independent predictor of aspiration thrombectomy in STEMI. National data from the ORPKI register in the years 2020–2022

Patrycja Zając 1 , Karol Kaziród-Wolski 2 , Janusz Sielski 2 , Magdalena Wolska 3 , Krzysztof Piotr Malinowski 4 , Zbigniew Siudak 2

thrombectomy, percutaneous coronary intervention, acute coronary syndrome, COVID-19, myocardial infarction, coronary thrombosis

Patrycja Zając

¹

,

Karol Kaziród-Wolski

²

,

Janusz Sielski

²

,

Magdalena Wolska

³

,

Krzysztof Piotr Malinowski

⁴

,

Zbigniew Siudak

²