What is the clinical evidence from this study?

Study design: Observational. Population: Coronary and non-coronary disease requiring intervention (n=438351). Intervention: Percutaneous interventions vs. Previous year. Primary outcome: Number of percutaneous interventions and stents utilized.

What does this research mean for the field?

In 2018, percutaneous cardiovascular interventions in India increased by 13.14% to 438,351 procedures across 709 centers, accompanied by rising adoption of complex PCI, intravascular imaging guidance, and transcatheter aortic valve replacement. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

July 25, 2020Indian Heart JournalOpen Access

National interventional council data for the year 2018-India

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Key result

Percutaneous interventions in India increased by ~13% in 2018.

n=438,351

Why the study?

The National interventional council collects annual data on coronary and non-coronary interventions across India to show disease burden and procedural trends.

Study Design

Type

Observational (n=438,351)

Multicenter

Yes

Structured PICO

Population

438,351 percutaneous interventions performed across 709 centers in India during the year 2018.

Exposure

Percutaneous coronary and non-coronary interventions, including PCI and TAVR.

Outcome

Number and types of interventional procedures performed

The 2018 CSI-NIC registry data demonstrates a continued year-over-year increase in the volume and complexity of percutaneous interventions, including PCI and TAVR, across India.

Implication

Documents rising Indian PCI volumes; leaves open questions on access, quality, and outcomes.

Abstract

OBJECTIVE: The National interventional Council of Cardiological Society of India (CSI-NIC) is the society representing all the practising interventional cardiologists across country. Every year National interventional council collects the data of coronary and non-coronary interventions across all the cath labs in the country and data will be presented at annual meet. This Data will show the burden of disease, number of interventions and adaption of various newer procedures from various centers across India. METHODS: Retrospective collection of data pertaining to all the coronary and non coronary interventions across India for the period of 1 year from January 1 st 2018 to December 31 st 2018. This data was collected by various methods like online submission, email based collection of data and filled proforma from all working cath labs all over the country. All the data was compiled and analysed for various interventional procedures. RESULTS: A total of 4,38,351 percutaneous interventions were performed in 1 year period during 2018 and utilized 5,78,164 coronary stents with a 13.14% increase in number of procedures from 709 centers. The major indication for PCI was post myocardial infarction. There was an increase in use of adjunctive imaging techniques along with PCI,increase in number of Transcatheter aortic valve replacements (TAVR) across country. CONCLUSIONS: The prevalence and number of percutaneous coronary interventions for coronary artery disease were on rising trend year by year. There was an increase in number of multivessel PCI, compelx PCI, intravascular imaging guided precision PCI and the number of TAVR performed compared to previous year.

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Published by Indian Heart Journal · CC BY-NC-ND

Cite This Study

Arramraju et al. (2020) conducted an observational in Coronary and non-coronary disease requiring intervention (n=438,351). Percutaneous interventions vs. Previous year was evaluated on Number of percutaneous interventions and stents utilized. A total of 438,351 percutaneous interventions were performed across 709 centers in India in 2018, representing a 13.14% increase in the number of procedures.

synapsesocial.com/papers/6ab1d111e9cbf4e7a0eaaf1c https://doi.org/10.1016/j.ihj.2020.07.018