Percutaneous coronary interventions for stable ischemic heart disease in Italy

Journal of Cardiovascular Medicine
Stefano De ServiSergio Leonardi

Abstract

Although the benefits of percutaneous coronary interventions (PCIs) in patients with stable chronic ischemic heart disease (SIHD) are controversial, a large number of PCIs are currently performed in SIHD patients, frequently after coronary angiography (ad-hoc procedures), without the use of fractional flow reserve (FFR) to identify patients most likely to benefit from PCI. Assessment of regional variations in PCI for SIHD performed in Italy in 2017 and correlation of the regional number of PCI per million inhabitants with the use of FFR were performed using the data reported in the registry of the Italian Society of Interventional Cardiology (SICI-GISE) registry for the year 2017. PCI for SIHD accounted for 44.5% of all PCI performed in Italy with large variations among the Italian regions. There was a significant and inverse relationship between the use of FFR and the PCI number per million inhabitants performed for SIHD in the various Italian regions (P = 0.01). In the Veneto region, where local authorities mandated Heart Team reports to select the most appropriate treatment choice in multivessel disease patients, the rate of ad-hoc procedures was significantly lower than the national average. PCI for SIHD patients represent ...Continue Reading

References

Jun 16, 2005·JAMA : the Journal of the American Medical Association·Shamir R MehtaSalim Yusuf
Mar 28, 2007·The New England Journal of Medicine·William E BodenUNKNOWN COURAGE Trial Research Group
Jun 9, 2009·The New England Journal of Medicine·UNKNOWN BARI 2D Study GroupBurton E Sobel
Sep 2, 2014·The New England Journal of Medicine·Bernard De BruyneUNKNOWN FAME 2 Trial Investigators
May 16, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Dariusz DudekMichael Haude
Jun 26, 2017·The American Journal of Medicine·Kai M EggersBertil Lindahl
Dec 12, 2017·Journal of Cardiovascular Medicine·Irene RasoStefano de Servi
Aug 6, 2018·American Heart Journal·Raymond J GibbonsRalph G Brindis
Aug 11, 2018·JACC. Cardiovascular Interventions·Nils P Johnson, Bon-Kwon Koo
Aug 31, 2018·European Heart Journal·Franz-Josef NeumannUNKNOWN ESC Scientific Document Group
Jan 21, 2019·JACC. Cardiovascular Interventions·Andrew CzarneckiHarindra C Wijeysundera

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