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Related Experiment Videos

Coronary revascularization in DACH: 1991-2002.

P Ghosh1, R Schistek, F Unger

  • 1Department of Cardiac Surgery, St. John's Hospital, Paracelsus Medical University, Muellner Hauptstrasse 48, 5020 Salzburg, Austria. P.Ghosh@lks.at

The Thoracic and Cardiovascular Surgeon
|December 2, 2004
PubMed
Summary

Coronary revascularization, including percutaneous coronary interventions (PCI), increased significantly in Europe between 1991-2002, though it lags behind the US. The DACH region shows high coronary artery surgery (CAS) volume and a strong trend towards PCI.

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Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Health Services Research

Background:

  • Examined trends in coronary revascularization procedures in Europe from 1991 to 2002.
  • Focused specifically on the DACH countries (Germany, Austria, Switzerland).

Purpose of the Study:

  • To analyze changes in the volume and patterns of coronary artery surgery (CAS) and percutaneous coronary interventions (PCI).
  • To compare revascularization activity in DACH countries with the rest of Europe.

Main Methods:

  • Analyzed data from national surgical societies, registries, government sources, and international organizations.
  • Collected collegial responses to supplement quantitative data.

Main Results:

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  • European cardiac surgery output increased by 108%, with CAS up by 108% and PCI showing a more significant rise.
  • DACH countries contributed substantially to European CAS (34.6%) and PCI volumes.
  • CAS volume per center increased in Europe and DACH, except in Switzerland.
  • PCI volume grew substantially across Europe, with DACH leading in per million population figures.
  • Conclusions:

    • Coronary revascularization productivity in Europe grew, primarily driven by PCI, but still trails the US.
    • DACH countries maintain high CAS productivity, though growth has plateaued.
    • A clear trend towards increased PCI utilization is evident in Austria, Germany, and Switzerland.