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[Cardiac interventions in Switzerland in 1994]

S Goerre1

  • 1Departement Innere Medizin, Universitätsklinik, Inselspital, Bern.

Praxis
|September 3, 1996
PubMed
Summary
This summary is machine-generated.

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Cardiac interventional procedures in Switzerland show a rise in coronary angioplasty and stent use. Ad hoc angioplasty is common, while other devices decline. Cardiac surgery is stable.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • A survey of cardiac procedures in Swiss centers has been conducted annually since 1987.
  • The 1994 survey continued this data collection among 25 Swiss centers.

Purpose of the Study:

  • To analyze trends in cardiac invasive, interventional, and surgical procedures in Switzerland in 1994.
  • To present data by individual center and sector (university, private, public).

Main Methods:

  • Detailed questionnaire distributed to 25 Swiss centers.
  • Data collected on cardiac invasive, interventional, and surgical procedures performed in 1994.

Main Results:

  • Coronary angioplasty use continues to increase, driven by simpler cases; multivessel angioplasty remains low.

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  • Over half of angioplasties were performed ad hoc (immediately after coronary angiography).
  • Coronary stent use has risen sharply; other devices like atherectomy and rotablation have declined. PTCA for infarction is rare. Coronary ultrasound is the main diagnostic tool. Cardiac surgery is stable. Valvuloplasty is rare. Catheter closure of shunt defects is routine.

    • Conclusions:

    • Coronary angioplasty and stent implantation are increasingly utilized, with a trend towards ad hoc procedures.
    • Interventional catheter procedures are concentrated in university centers, while coronary artery bypass graft interventions are more common in private institutions.