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Updated: Jul 16, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Percutaneous coronary interventions in Europe 2000.
Florian Balmer1, Martin Rotter, Mario Togni
1Swiss Cardiovascular Center Bern, University Hospital.
Interventional cardiology procedures, including coronary angioplasty and stenting, are expanding in Europe, particularly in Eastern European nations. This growth is driven by newer revascularization techniques and improved accessibility in lower socioeconomic regions.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Public Health
Background:
- Interventional cardiology is a rapidly evolving field within cardiovascular medicine.
- Understanding procedural trends and regional variations is crucial for healthcare planning in Europe.
Purpose of the Study:
- To track trends in interventional cardiology procedures across Europe.
- To analyze the adoption and distribution of novel revascularization techniques.
- To identify regional disparities in the utilization of cardiology interventions.
Main Methods:
- A registry-based approach utilizing questionnaires distributed to national cardiology societies.
- Data collection from local institutions and operators on angiograms and percutaneous coronary angioplasty (PTCA).
- Analysis of procedure volumes, population-adjusted rates, and complication rates for the year 2000 compared to 1999.
Main Results:
- In 2000, 1,637,148 angiograms and 525,983 PTCAs were performed, marking a 15% and 23% increase from 1999, respectively.
- Coronary stenting saw a 26% rise, reaching approximately 395,000 cases in 2000.
- Significant growth in PTCA rates was observed in Eastern European countries, contributing to an overall rise in population-adjusted PTCA rates.
Conclusions:
- Interventional cardiology in Europe continues to expand, with notable growth in countries with lower socioeconomic levels.
- Coronary stenting is increasingly favored as an adjunctive or alternative strategy to balloon angioplasty.
- While overall procedure volumes increase, central European countries showed only modest growth.
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