Trends in Primary Angioplasty in Portugal From 2002 to 2013 According to the Portuguese National Registry of Interventional Cardiology

• Autor(a) principal: Pereira, H
• Data de Publicação: 2016
• Outros Autores: Campante Teles, R, Costa, M, Canas da Silva, P, Gama Ribeiro, V, Brandão, V, Martins, D, Matias, F, Pereira-Machado, F, Baptista, J, Farto e Abreu, P, Santos, R, Drummond, A, Cyrne de Carvalho, H, Calisto, J, Silva, JC, Pipa, JL, Marques, J, Sousa, P, Fernandes, R, Cruz Ferreira, R, Ramos, S, Oliveira, E, Almeida, M
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.17/2554
• topic: HSM CAR; Drug-Eluting Stents/trends; Drug-Eluting Stents/utilization; Percutaneous Coronary Intervention/trends; Percutaneous Coronary Intervention/utilization; Portugal; Prospective Studies; Registries/statistics & numerical data; ST Elevation Myocardial Infarction/surgery; Treatment Outcome

INTRODUCTION AND OBJECTIVES: The aim of the present paper was to report trends in coronary angioplasty for the treatment of ST-elevation myocardial infarction (STEMI) in Portugal. METHODS: Prospective multicenter data from the Portuguese National Registry of Interventional Cardiology (RNCI) and official data from the Directorate-General for Health (DGS) were studied to analyze percutaneous coronary intervention (PCI) procedures for STEMI from 2002 to 2013. RESULTS: In 2013, 3524 primary percutaneous coronary intervention (p-PCI) procedures were performed (25% of all procedures), an increase of 315% in comparison to 2002 (16% of all interventions). Between 2002 and 2013 the rate increased from 106 to 338 p-PCIs per million population per year. Rescue angioplasty decreased from 70.7% in 2002 to 2% in 2013. During this period, the use of drug-eluting stents grew from 9.9% to 69.5%. After 2008, the use of aspiration thrombectomy increased, reaching 46.7% in 2013. Glycoprotein IIb-IIIa inhibitor use decreased from 73.2% in 2002 to 23.6% in the last year of the study. Use of a radial approach increased steadily from 8.3% in 2008 to 54.6% in 2013. CONCLUSION: During the reporting period there was a three-fold increase in primary angioplasty rates per million population. Rescue angioplasty has been overtaken by p-PCI as the predominant procedure since 2006. New trends in the treatment of STEMI were observed, notably the use of drug-eluting stents and radial access as the predominant approach.