Fondazione Toscana G. Monasterio, Ospedale del Cuore G. Pasquinucci, Massa, Italy.
EuroIntervention. 2017 May 15;13(Z):Z37-Z41. doi: 10.4244/EIJ-D-16-00870.
The aim of this report is to analyse trends in Italian cathlab activity between 2010 and 2015. Data were obtained from the national database of the Italian Society of Interventional Cardiology (GISE), which includes 97% of Italian cardiac catheterisation laboratories. The number of percutaneous coronary interventions (PCI) has remained relatively stable in the past five years. We have observed a significant increase in the number of primary PCI (pPCI) from 471.5 to 557.5 per million inhabitants with a consequent reduction of rescue primary PCI/fibrinolysis. One of the possible explanations for this might be the extensive networking for primary PCI and the adoption of Stent for Life initiatives in five regions. There has been a notably increased use of drug-eluting stents and, despite the fact that the introduction of bioabsorbable vascular scaffolds is recent, there is a slight, progressively positive trend. Invasive physiologic evaluation of coronary stenosis has markedly increased. Radial artery access has become the default option for PCI and for pPCI. In the last five years, TAVI procedures have doubled in number, while MitraClip and mitral repair procedures have shown a fivefold increase. Left atrial appendage (LAA) occlusion procedures have more than doubled in four years.
本报告旨在分析 2010 年至 2015 年意大利心导管实验室活动的趋势。数据来自意大利介入心脏病学会（GISI）的国家数据库，该数据库涵盖了 97%的意大利心脏导管实验室。在过去五年中，经皮冠状动脉介入治疗（PCI）的数量保持相对稳定。我们观察到，每百万居民的急诊 PCI（pPCI）数量从 471.5 例显著增加到 557.5 例，相应减少了挽救性 pPCI/溶栓治疗。这种现象的一个可能解释是，广泛开展了 pPCI 网络建设，并在五个地区实施了 Stent for Life 计划。药物洗脱支架的使用显著增加，尽管生物可吸收血管支架的引入时间较晚，但呈轻微的、逐步上升的趋势。冠状动脉狭窄的有创生理评估明显增加。桡动脉入路已成为 PCI 和 pPCI 的首选方法。在过去五年中，TAVI 手术数量增加了一倍，而 MitraClip 和二尖瓣修复手术的数量增加了五倍。左心耳（LAA）封堵术在四年内增加了两倍以上。
