Article (Scientific journals)
Percutaneous coronary intervention in Europe 1992-2003
Cook, Stéphane; Togni, Mario; Walpoth, Nazan et al.
2006In EuroIntervention: Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 1, p. 374-379
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Keywords :
Coronary angiography; PCI; Coronary interventions; Coronary stent; PTCA; registry
Abstract :
[en] Aims: 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. Methods and results: 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%). Conclusion: 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.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Cook, Stéphane
Togni, Mario
Walpoth, Nazan
Maier, Willibald
Muehlberger, Volker
LEGRAND, Victor ;  Centre Hospitalier Universitaire de Liège - CHU > Cardiologie
Milicic, Davor
Zambartas, Costakis
Zelisko, Michal
Madsen, Jan Kyst
van Buuren, Frank
Lopez-Palop, Ramon
Peeba, Margus
Koskenkorva, Johanna
Vanhanen, Hannu
Lablanche, Jean-Marc
Lazaris, Itsiathios
Géza, Fontos
Eyjolfsson, Kristian
Kearney, Peter
Piscione, Frederico
Erglis, Andrejs
Navickas, Ramunas
Beissel, Jean
Channam, Rachid
Koch, Karel
Deleanu, Dan
Melberg, Tor
Witkowski, Adam
Pereira, Hélder
Reho, Ivano
Fridrich, Viliam
Zorman, Darco
Nilsson, Tage
Oezmen, Ferhan
Ludman, Peter
Meier, Bernhard
More authors (27 more) Less
Language :
English
Title :
Percutaneous coronary intervention in Europe 1992-2003
Publication date :
2006
Journal title :
EuroIntervention: Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
ISSN :
1774-024X
eISSN :
1969-6213
Publisher :
Europa Digital & Publishing, Toulouse, France
Volume :
1
Pages :
374-379
Peer reviewed :
Peer reviewed
Available on ORBi :
since 06 July 2014

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