Skip Navigation

European Heart Journal 2001 22(18):1733-1740; doi:10.1053/euhj.2001.2737
Copyright © 2001 by the European Society of Cardiology.
This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (16)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Maier, W
Right arrow Articles by Meier, B
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Maier, W
Right arrow Articles by Meier, B
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Evolution of percutaneous transluminal coronary angioplasty in Europe from 1992–1996

W Maiera,f1, S Windeckera, E Boersmab and B Meiera,f2

a Cardiology, Swiss Cardiovascular Bern, Bern, Switzerland
b Clinical Epidemiology, Thoraxcenter, Erasmus University, Rotterdam Dijkzigt, The Netherlands

revised April 10, 2001; accepted April 11, 2001

Abstract

Background The working group Coronary Circulation of the European Society of Cardiology has been conducting a yearly survey on coronary interventions in Europe. The purpose of this study is to present the evolution of percutaneous transluminal coronary angioplasty (PTCA) with epidemiological and economic implications.

Methods Coronary interventions were polled by questionnaires distributed to all institutions performing cardiac catheterization. Aggregated country data of the years 1992–1996 on indication, type of procedure, technique, and outcome of coronary interventions were analysed.

Results Population-adjusted coronary angiographies and PTCA procedures increased by 76% and by 105%, respectively. The Percentage of coronary stenting increased from zero to almost half of all procedures. Analysis per country groups reveals considerable variation, ranging, e.g. for PTCA in 1996 from 157 procedures per million population in a group of eastern countries to 1138 in a central European group. Relating total revascularization (R) to standardized death rate for ischaemic heart disease (SDR) and to gross domestic product (GDP), there was an increase from 1·0 to 1·8 R/SDR and 40 to 61 R/GDP in the central European group compared with an increase from 0·06 to 0·18 R/SDR and 43 to 85 R/GDP in the eastern group.

Conclusions An overall increase in PTCAs at an annual rate between 15 and 25% was observed. The wide variation in the use of PTCA in Europe appears to be dependent mostly on economic factors and national health care policies.

Key Words: Angioplasty, epidemiology, statistics

f1 Current address: Cardiology, University Hospital Zurich, Zurich, Switzerland.

f2 Correspondence: Bernhard Meier, MD, Professor and Chairman, Swiss Cardiovascular Center Bern, University Hospital, 3010 Bern, Switzerland.

References

  1. Grüntzig AR, Senning A, Siegenthaler WE. Nonoperative dilatation of coronary-artery stenosis: percutaneous transluminal coronary angioplasty. N Engl J Med. 1979;301:61–68[Abstract]
  2. American Heart Association, 2000 Heart and stroke statistical update. Medical procedures, facilities and costs, Dallas, Texas, American Heart Association, 1999
  3. Puel J, Joffre F, Rousseau H. Endo-prothèses coronariennes auto-expansives dans la prévention des resténoses après angioplastie transluminale. Arch Mal Coeur. 1987;8:1311–1312
  4. Schömig A, Neumann FJ, Kastrati A. A randomized comparison of antiplatelet and anticoagulant therapy after the placement of coronary-artery stents. N Engl J Med. 1996;334:1084–1089[Abstract/Free Full Text]
  5. N Engl J Med. 1994;330:956–961[Abstract/Free Full Text]
  6. Zijlstra F, Hoorntje JC, de Boer MJ. Long-term benefit of primary angioplasty as compared with thrombolytic therapy for acute myocardial infarction. N Engl J Med. 1999;341:1413–1419[Abstract/Free Full Text]
  7. OECD, OECD in figures, Organisation for economic co-operation and development, 1998
  8. Röthlisberger C, Meier B. Coronary interventions in Europe 1992. Eur Heart J. 1995;16:922–929[Abstract/Free Full Text]
  9. Meyer BJ, Meier B, Bonzel T. Interventional cardiology in Europe 1993. Eur Heart J. 1996;17:1318–1328[Abstract/Free Full Text]
  10. Windecker S, Meyer BJ, Bonzel T. Interventional cardiology in Europe 1994. Eur Heart J. 1998;19:40–54[Abstract/Free Full Text]
  11. Windecker S, Maier W, Bonzel T. Interventional Cardiology in Europe in the Year 1995. Eur Heart J. 1999;20:484–495[Abstract/Free Full Text]
  12. Maier W, Windecker S, Lablanche J. The European Registry of Cardiac Catheter Interventions 1996. Eur Heart J. 2001;22:373–377[Free Full Text]
  13. WHO, Health for all statistical database, http://www.who.dk/country/country.htm, 1999
  14. Unger, F, European Survey on Cardiac interventions; open heart surgery; PTCA; cardiac catheterisation 1992, Salzburg, 1993
  15. Unger, F, European Survey on Cardiac interventions; open heart surgery; PTCA; cardiac catheterisation 1993, Salzburg, 1994
  16. Unger, F, European Survey on Cardiac interventions; open heart surgery; PTCA; cardiac catheterisation 1994, Salzburg, 1995
  17. Unger F. Cardiac interventions in Europe 1995; open heart surgery; PTCA; cardiac catheterisation. Wien: Springer; 1996.
  18. Unger, F, Cardiac interventions in Europe, 1996: open heart surgery and coronary revascularization, Cor Europaeum, 1998, 7, 81, 93
  19. American Heart Association, Heart and stroke 1999 statistical update. Medical procedures, facilities and costs, http://www.americanheart.org/statistics/09medicl.html, 1999
  20. US Census Bureau, National Estimates. Annual population estimates by age group and sex, selected years from 1990 to 2000, http://www.Census.gov/, 2000
  21. WHO, Standardized death rate, ischemic heart disease, USA 1996, 1999
  22. Meier B. Stenting, quite a legacy of Charles, Charles, and Arthur. Cathet Cardiovasc Diagn. 1998;45:233–234[CrossRef][ISI][Medline]
  23. Hemingway H, Crook AM, Feder G. Underuse of coronary revascularization procedures in patients considered appropriate candidates for revascularization. N Engl J Med. 2001;344:645–654[Abstract/Free Full Text]
  24. Cho L, Topol EJ, Balog C. Clinical benefit of glycoprotein IIb/IIIa blockade with Abciximab is independent of gender: pooled analysis from EPIC, EPILOG and EPISTENT trials. Evaluation of 7E3 for the Prevention of Ischemic Complications. Evaluation in Percutaneous Transluminal Coronary Angioplasty to Improve Long-Term Outcome with Abciximab GP IIb/IIIa blockade. Evaluation of Platelet IIb/IIIa Inhibitor for Stent. J Am Coll Cardiol. 2000;36:381–386[Abstract/Free Full Text]
  25. Benson K, Hartz AJ. A comparison of observational studies and randomized, controlled trials. N Engl J Med. 2000;342:1878–1886[Abstract/Free Full Text]
  26. Concato J, Shah N, Horwitz RI. Randomized, controlled trials, observational studies, and the hierarchy of research designs. N Engl J Med. 2000;342:1887–1892[Abstract/Free Full Text]

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 HeartHome page
S Stewart, N Murphy, A Walker, A McGuire, and J J V McMurray
The current cost of angina pectoris to the National Health Service in the UK
Heart, August 1, 2003; 89(8): 848 - 853.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
J. E. Sousa, P. W. Serruys, and M. A. Costa
New Frontiers in Cardiology: Drug-Eluting Stents: Part I
Circulation, May 6, 2003; 107(17): 2274 - 2279.
[Full Text] [PDF]

Home page
 Eur Heart JHome page
W. Maier, P. Camici, S. Windecker, D. Pfiffner, W. Wijns, and B. Meier
The European Registry of Cardiac Catheter Interventions 1997
Eur. Heart J., December 2, 2002; 23(24): 1903 - 1907.
[PDF]

Home page
 CirculationHome page
S. Fuchs, E. Stabile, T. D. Kinnaird, G. S. Mintz, L. Gruberg, D. A. Canos, E. E. Pinnow, R. Kornowski, W. O. Suddath, L. F. Satler, et al.
Stroke Complicating Percutaneous Coronary Interventions: Incidence, Predictors, and Prognostic Implications
Circulation, July 2, 2002; 106(1): 86 - 91.
[Abstract] [Full Text] [PDF]

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (16)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Maier, W
Right arrow Articles by Meier, B
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Maier, W
Right arrow Articles by Meier, B
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?