Percutaneous coronary interventions in Europe 2000

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Abstract

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.

Methods and results

Questionnaires distributed to delegates of the national societies of cardiology represented in the European Society of Cardiology to be completed by local institutions and operators yielded that 1 637 148 angiograms and 525 983 coronary angioplasty (PTCAs) were performed in 2000. This is an increase of 15% and 23%, respectively, compared with 1999, particularly due to increases in eastern European countries. The population-adjusted PTCA rate rose from 714 procedures per 106 inhabitants in 1999 to approximately 800 procedures per 106 inhabitants in the year 2000. Coronary stenting increased by 26% to about 395 000 stented cases in 2000. Complication rates remained unchanged, the need for emergency coronary artery bypass grafting (CABG) further decreased to 0.2% per percutaneous intervention.

Conclusion

Interventional cardiology in Europe is still expanding, mainly due to rapid growth in countries with lower socioeconomical levels. Most central European countries reported only minor increases in procedures performed. Coronary stenting remains the only noteworthy adjunctive or alternative strategy to balloon angioplasty.

Introduction

The report on Interventional Cardiology in Europe in 2000 provides the ninth edition of the yearly data collection initiated in 1992 [1], [2], [3], [4], [5], [6], [7], [8]. The aim of this report is to show trends in cardiac catheter interventions in Europe over the last few years. It summarizes cardiac catheter interventions and gives an overview of specific interventional cardiologic activities in 27 countries of Europe, the majority of the members of the European Society of Cardiology. Few reliable data exist providing field trends in interventional cardiology [9], [10], [11], [12].

Section snippets

Methods

A detailed questionnaire together with instructions and examples for completion was sent to the presidents or designated delegates of the national societies of cardiology represented in the European Society of Cardiology. It was to be distributed nationwide to all facilities performing diagnostic or interventional cardiac catheterization. A summary data sheet filled out by the national representatives was used to report the nationwide data set. Finally, the data were entered into the central

Coronary angiography

Of 32 isolated country summaries 27 were received and analysed. The survey showed an absolute number of 1 637 148 angiograms performed in Europe in 2000. This corresponds to an increase of 15% compared with 1999 (Fig. 1). The highest absolute and relative numbers were reported from Germany, that is, 594 898 angiograms or 7344 per million inhabitants (Fig. 2, Fig. 3). This is a relative increase of 4% compared with 1999. The other central European countries showed varying increases in

Discussion

This report represents a statistical overview of interventional cardiology in Europe in 2000. It is based on data voluntarily submitted by 27 countries, all members of the European Society of Cardiology (including Morocco, situated on the African continent). These 27 countries represent more than 570 million people of the total European population of 720 million. However, as the number of countries participating in this survey is variable each year, comparison of absolute numbers with previous

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