Balmer Florian, Rotter Martin, Togni Mario, Pfiffner Dorothy, Zeiher Andreas M, Maier Willibald, Meier Bernhard
Swiss Cardiovascular Center Bern, University Hospital.
Int J Cardiol. 2005 Jun 8;101(3):457-63. doi: 10.1016/j.ijcard.2004.03.064.
The purpose of this registry is to collect data on trends in interventional cardiology within Europe. Special interest focuses on relative increases and ratios in newer revascularization approaches and its distribution in different regions in Europe.
Questionnaires distributed to delegates of the national societies of cardiology represented in the European Society of Cardiology to be completed by local institutions and operators yielded that 1637148 angiograms and 525983 coronary angioplasty (PTCAs) were performed in 2000. This is an increase of 15% and 23%, respectively, compared with 1999, particularly due to increases in eastern European countries. The population-adjusted PTCA rate rose from 714 procedures per 10(6) inhabitants in 1999 to approximately 800 procedures per 10(6) inhabitants in the year 2000. Coronary stenting increased by 26% to about 395000 stented cases in 2000. Complication rates remained unchanged, the need for emergency coronary artery bypass grafting (CABG) further decreased to 0.2% per percutaneous intervention.
Interventional cardiology in Europe is still expanding, mainly due to rapid growth in countries with lower socioeconomical levels. Most central European countries reported only minor increases in procedures performed. Coronary stenting remains the only noteworthy adjunctive or alternative strategy to balloon angioplasty.
该登记处的目的是收集欧洲介入心脏病学的趋势数据。特别关注的是新型血运重建方法的相对增加和比例及其在欧洲不同地区的分布情况。
向欧洲心脏病学会中代表各国心脏病学会的代表分发问卷，由当地机构和操作人员填写，结果显示2000年共进行了1637148例血管造影和525983例冠状动脉血管成形术（PTCA）。与1999年相比，分别增加了15%和23%，这主要是由于东欧国家的增加。经人口调整的PTCA率从1999年每10^6居民714例手术上升到2000年每10^6居民约800例手术。冠状动脉支架置入术在2000年增加了26%，达到约395000例支架置入病例。并发症发生率保持不变，急诊冠状动脉旁路移植术（CABG）的需求进一步降至每例经皮介入治疗0.2%。
欧洲的介入心脏病学仍在扩张，主要是由于社会经济水平较低国家的快速增长。大多数中欧国家报告手术量仅略有增加。冠状动脉支架置入术仍然是球囊血管成形术唯一值得注意的辅助或替代策略。
