June 1, 2010EuroIntervention57 citations
Percutaneous coronary interventions in Europe in 2006
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Key Result
Between 1992 and 2003, the overall numbers of coronary angiographies in Europe increased from 684,000 to 1,993,000, and percutaneous coronary interventions increased from 184,000 to 733,000.
Study Design
Type
Observational
Multicenter
Yes
Structured PICO
P
Population
Patients undergoing coronary angiographies and percutaneous coronary interventions in Europe between 1992 and 2003.
I
Intervention
Coronary angiography, percutaneous coronary intervention (PCI), and coronary stenting
O
Outcome
Trends in case numbers and rates per million inhabitants of coronary interventions
Registry data from 1992 to 2003 demonstrates a massive expansion in interventional cardiology procedures across Europe, driven largely by exponential growth in coronary stenting.
Abstract
A Ai im ms s: : The purpose of this registry is to collect data on trends in interventional cardiology within Europe.Special interest focuses on relative increases and ratios in newer revascularization approaches and its distribution in different regions in Europe.We report the data of the year 2003 and give an overview of the development of coronary interventions since 1992, when the first data collection was performed.M Me et th ho od ds s a an nd d r re es su ul lt ts s: : Questionnaires were distributed yearly to delegates of all national societies of cardiology represented in the European Society of Cardiology to collect the case numbers of all local institutions and operators.The overall numbers of coronary angiographies increased from 1992 to 2003 from 684,000 to 1,993,000 (from 1,250 to 3,500 per million inhabitants).The respective numbers for percutaneous coronary interventions (PCI-coronary angioplasty) and coronary stenting procedures increased from 184,000 to 733,000 (from 335 to 1,300) and from 3,000 to 610,000 (from 5 to 1,100), respectively.Germany has been the most active country for the past years with 653,000 angiographies (7,800), 222,000 angioplasties (2,500), and 180,000 stenting procedures (2,200) in 2003. The indication has shifted towards acute coronary syndromes, as demonstrated by raising rates of interventions for acute myocardial infarction over the last decade. The procedures are more readily performed and safer, as shown by increasing rate of "ad hoc" PCI and decreasing need for emergency coronary artery bypass surgery (CABG).In 2003, use of drug-eluting stents had further increased.However, an enormous variability is reported with the highest rate in Portugal (55%).C Co on nc cl lu us si io on n: : Interventional cardiology in Europe is still expanding, mainly but not exclusively due to rapid growth in the eastern European countries.A number of new coronary revascularization procedures introduced over the years have all but disappeared.Only stenting has experienced an exponential growth.The same can be forecast for drug-eluting stenting.