Related Experiment Videos
[Cardiac interventions in Switzerland 1993]
C Röthlisberger1, B Meier, P Urban
1Departement Medizin, Universitätsspital, Inselspital, Bern.
Insights
In 1993, coronary angioplasties surpassed coronary bypass graft operations for the first time in Switzerland. Coronary stents became the most frequent device in interventional cardiology, with significant center variations.
Area of Science:
- Cardiovascular medicine
- Interventional cardiology
- Cardiac surgery
Context:
- Annual survey of cardiac invasive, interventional, and surgical procedures in Switzerland.
- Data collected via detailed questionnaires from all Swiss centers in 1993.
Purpose:
- To present the 1993 data for cardiac procedures nationwide and per center.
- To highlight key trends and findings in Swiss interventional cardiology and cardiac surgery.
Summary:
- For the first time, coronary angioplasties exceeded coronary bypass graft operations.
- Coronary stents were the most utilized device in interventional cardiology, though implantation rates varied significantly among centers.
- Angioplasty in multiple vessels during a single session was performed in only 10% of cases.
- Private centers demonstrated a dramatic increase in interventional and surgical volumes compared to public/university hospitals.
Impact:
- Indicates a shift in revascularization strategies towards percutaneous coronary intervention.
- Highlights the growing importance and adoption of coronary stents in clinical practice.
- Reveals disparities in interventional cardiology practices and resource allocation across different healthcare settings in Switzerland.
Abstract:
As in the previous years, a survey of all cardiac invasive, interventional and surgical procedures was carried out 1993 by a detailed questionnaire, which was sent to all Swiss centers. The resulting data are presented here for the whole of Switzerland and per individual center. The outstanding findings are: For the first time, more coronary angioplasties than coronary bypass graft operations were performed. At the same time, angioplasty in two or more vessels during the same session was attempted in 10% only. Overall the coronary stent represents the most frequently used new device in interventional cardiology in Switzerland, but large differences regarding the incidence of stent implantations exist among the centers. Compared with the public or university hospitals, the private centers have increased their interventional and surgical volume dramatically during the past years.