Percutaneous coronary interventions in Europe 1992-2003.
Stéphane Cook1, Mario Togni, Nazan Walpoth
1Swiss Cardiovascular Center Bern, University Hospital, 3010 Bern, Switzerland.
Summary
Interventional cardiology in Europe is rapidly expanding, with coronary stenting showing exponential growth. Drug-eluting stent use is increasing, indicating future trends in revascularization procedures.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Public Health
Background:
- The registry tracks interventional cardiology trends in Europe.
- Focuses on revascularization approaches and regional distribution.
- Reports 2003 data and developments since 1992.
Purpose of the Study:
- To collect and analyze European interventional cardiology data.
- To assess the growth of newer revascularization techniques.
- To provide an overview of coronary interventions from 1992 to 2003.
Main Methods:
- Yearly questionnaires distributed to national cardiology societies.
- Data collected from local institutions and operators on case numbers.
- Analysis of coronary angiography, percutaneous coronary interventions (PCI), and stenting procedures.
Main Results:
- Coronary angiography increased from 684,000 to 1,993,000 (1992-2003).
- Percutaneous coronary interventions (PCI) rose from 184,000 to 733,000; stenting from 3,000 to 610,000.
- Germany led in procedures; indications shifted to acute coronary syndromes; drug-eluting stent use increased.
Conclusions:
- Interventional cardiology in Europe continues to expand, notably in Eastern European countries.
- Stenting has experienced exponential growth, with drug-eluting stenting predicted to follow.
- Significant regional variability exists in procedure rates across Europe.
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