TY - JOUR
T1 - Portuguese National Registry of Interventional Cardiology
T2 - Official report of percutaneous coronary angiography and intervention from 2014 to 2023
AU - Calé, Rita
AU - Pereira, Hélder
AU - Luz, André
AU - Campante Teles, Rui
AU - Costa, Marco
AU - Silva, João Carlos
AU - Braga, Pedro
AU - Pinto Cardoso, Pedro
AU - Cruz Ferreira, Rui
AU - Seixo, Filipe
AU - Costa, João
AU - Ribeiro, Hélder
AU - Brum da Silveira, João
AU - Costa Ferreira, Pedro
AU - Guardado, Jorge
AU - Farto e Abreu, Pedro
AU - Fernandes, Renato
AU - Vinhas, Hugo
AU - Martins, Dinis
AU - Caires, Graça
AU - Adrega, Tiago
AU - Caria, Rui
AU - Bernardes, Luís
AU - Baptista, José
AU - de Araújo Gonçalves, Pedro
AU - Infante Oliveira, Eduardo
AU - Sousa, Paulino
AU - Braga, Carlos
AU - Jerónimo Sousa, Pedro
AU - Almeida, Manuel
N1 - Funding Information:
We would like to thank Maria F\u00E1tima Loureiro, who was the biostatistician at the National Center for Data Collection in Cardiology (CNCDC) at the time of the study, for her collaboration in processing the data from the Portuguese National Registry of Interventional Cardiology. Additionally, we extend our gratitude to all healthcare professionals who diligently record data in the registry at their respective centers.
Publisher Copyright:
© 2025 Sociedade Portuguesa de Cardiologia
PY - 2025/2
Y1 - 2025/2
N2 - Introduction and objectives: To present the report on the trends in percutaneous coronary activity data in Portugal from the last decade (from 2014 to 2023). Methods: Data were extracted from the Portuguese National Registry of Interventional Cardiology (RNCI) and the numbers in recent years were compared and complemented by information from the 2023 European Society of Cardiology Atlas in Interventional Cardiology (IC) survey, which was administered to the director of every IC department. Linear regression analysis was used to assess trends in activity over time. Results: From 2014 to 2023, there were 160 101 percutaneous coronary interventions reported in the RNCI. The number of annual PCI in the last decade remained constant (1360/million inhabitants in 2014 to 1322/million in 2023; R2=0.039, p=0.276). Importantly, there was a 22% increase in primary PCI (306/million inhabitants in 2014 to 374/million inhabitants in 2023; R2=0.759, p<0.001) and there was a decrease in the geographical disparities in primary PCI across Portugal. The following PCI trends were noted: a 43% increase in PCI performed by radial access (57.4% in 2014 to 82.1% in 2023; R2=0.908, p<0.001), a 27% increase in drug-eluting stents (78.4% in 2014 to 99.2% of all PCI with stents in 2023; R2=0.638, p=0.003), and a 47% decrease of thrombectomy in primary PCI (35.0% in 2014 to 18.6% in 2023; R2=0.649, p=0.003). There was a slight increase in the use of intracoronary diagnostic devices during PCI, with intravascular imaging and physiological assessments reaching 7.6% and 4.2%, respectively, in 2023. Conclusion: The RNCI was able to depict changes in our practice along the study period. The annual PCI volume per million inhabitants remained stable, driven by an increase in primary PCI offset by a decrease in chronic coronary syndrome indications. The geographical asymmetries were markedly reduced due to the expansion on PCI capable centers, enabling a progress towards a more universal access to percutaneous coronary techniques.
AB - Introduction and objectives: To present the report on the trends in percutaneous coronary activity data in Portugal from the last decade (from 2014 to 2023). Methods: Data were extracted from the Portuguese National Registry of Interventional Cardiology (RNCI) and the numbers in recent years were compared and complemented by information from the 2023 European Society of Cardiology Atlas in Interventional Cardiology (IC) survey, which was administered to the director of every IC department. Linear regression analysis was used to assess trends in activity over time. Results: From 2014 to 2023, there were 160 101 percutaneous coronary interventions reported in the RNCI. The number of annual PCI in the last decade remained constant (1360/million inhabitants in 2014 to 1322/million in 2023; R2=0.039, p=0.276). Importantly, there was a 22% increase in primary PCI (306/million inhabitants in 2014 to 374/million inhabitants in 2023; R2=0.759, p<0.001) and there was a decrease in the geographical disparities in primary PCI across Portugal. The following PCI trends were noted: a 43% increase in PCI performed by radial access (57.4% in 2014 to 82.1% in 2023; R2=0.908, p<0.001), a 27% increase in drug-eluting stents (78.4% in 2014 to 99.2% of all PCI with stents in 2023; R2=0.638, p=0.003), and a 47% decrease of thrombectomy in primary PCI (35.0% in 2014 to 18.6% in 2023; R2=0.649, p=0.003). There was a slight increase in the use of intracoronary diagnostic devices during PCI, with intravascular imaging and physiological assessments reaching 7.6% and 4.2%, respectively, in 2023. Conclusion: The RNCI was able to depict changes in our practice along the study period. The annual PCI volume per million inhabitants remained stable, driven by an increase in primary PCI offset by a decrease in chronic coronary syndrome indications. The geographical asymmetries were markedly reduced due to the expansion on PCI capable centers, enabling a progress towards a more universal access to percutaneous coronary techniques.
KW - Angioplasty
KW - Coronary angiography
KW - Interventional Cardiology
KW - Radial
KW - Registry
KW - Stent
UR - http://www.scopus.com/inward/record.url?scp=105000475002&partnerID=8YFLogxK
U2 - 10.1016/j.repc.2024.12.003
DO - 10.1016/j.repc.2024.12.003
M3 - Article
AN - SCOPUS:105000475002
SN - 0870-2551
JO - Revista Portuguesa de Cardiologia
JF - Revista Portuguesa de Cardiologia
ER -