Percutaneous coronary interventions in Europe: prevalence, numerical estimates, and projections based on data up to 2004

Détails

ID Serval
serval:BIB_A74D8E515DA1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Percutaneous coronary interventions in Europe: prevalence, numerical estimates, and projections based on data up to 2004
Périodique
Clinical Research in Cardiology
Auteur⸱e⸱s
Cook  S., Walker  A., Hugli  O., Togni  M., Meier  B.
ISSN
1861-0684 (Print)
Statut éditorial
Publié
Date de publication
06/2007
Volume
96
Numéro
6
Pages
375-82
Notes
Journal Article --- Old month value: Jun
Résumé
AIMS: A registry mandated by the European Society of Cardiology collects data on trends in interventional cardiology within Europe. Special interest focuses on relative increases and ratios in new techniques and their distributions across Europe. We report the data through 2004 and give an overview of the development of coronary interventions since the first data collection in 1992. METHODS AND RESULTS: Questionnaires were distributed yearly to delegates of all national societies of cardiology represented in the European Society of Cardiology. The goal was to collect the case numbers of all local institutions and operators. The overall numbers of coronary angiographies increased from 1992 to 2004 from 684 000 to 2 238 000 (from 1250 to 3930 per million inhabitants). The respective numbers for percutaneous coronary interventions (PCIs) and coronary stenting procedures increased from 184 000 to 885 000 (from 335 to 1550) and from 3000 to 770 000 (from 5 to 1350), respectively. Germany was the most active country with 712 000 angiographies (8600), 249 000 angioplasties (3000), and 200 000 stenting procedures (2400) in 2004. The indication has shifted towards acute coronary syndromes, as demonstrated by rising rates of interventions for acute myocardial infarction over the last decade. The procedures are more readily performed and perceived safer, as shown by increasing rate of "ad hoc" PCIs and decreasing need for emergency coronary artery bypass grafting (CABG). In 2004, the use of drug-eluting stents continued to rise. However, an enormous variability is reported with the highest rate in Switzerland (70%). If the rate of progression remains constant until 2010 the projected number of coronary angiographies will be over three million, and the number of PCIs about 1.5 million with a stenting rate of almost 100%. CONCLUSION: Interventional cardiology in Europe is ever expanding. New coronary revascularization procedures, alternative or complementary to balloon angioplasty, have come and gone. Only stenting has stood the test of time and matured to the default technique. Facilitated access to PCI, more complete and earlier detection of coronary artery disease promise continued growth of the procedure despite the uncontested success of prevention.
Pubmed
Web of science
Création de la notice
29/01/2008 8:41
Dernière modification de la notice
20/08/2019 15:12
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