Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023
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 co...
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Elsevier
2025-06-01
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| Series: | Revista Portuguesa de Cardiologia |
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| author | Rita Calé Hélder Pereira André Luz Rui Campante Teles Marco Costa João Carlos Silva Pedro Braga Pedro Pinto Cardoso Rui Cruz Ferreira Filipe Seixo João Costa Hélder Ribeiro João Brum da Silveira Pedro Costa Ferreira Jorge Guardado Pedro Farto e Abreu Renato Fernandes Hugo Vinhas Dinis Martins Graça Caires Tiago Adrega Rui Caria Luís Bernardes José Baptista Pedro de Araújo Gonçalves Eduardo Infante Oliveira Paulino Sousa Carlos Braga Pedro Jerónimo Sousa Manuel Almeida |
| author_facet | Rita Calé Hélder Pereira André Luz Rui Campante Teles Marco Costa João Carlos Silva Pedro Braga Pedro Pinto Cardoso Rui Cruz Ferreira Filipe Seixo João Costa Hélder Ribeiro João Brum da Silveira Pedro Costa Ferreira Jorge Guardado Pedro Farto e Abreu Renato Fernandes Hugo Vinhas Dinis Martins Graça Caires Tiago Adrega Rui Caria Luís Bernardes José Baptista Pedro de Araújo Gonçalves Eduardo Infante Oliveira Paulino Sousa Carlos Braga Pedro Jerónimo Sousa Manuel Almeida |
| author_sort | Rita Calé |
| collection | DOAJ |
| description | 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. Resumo: Introdução e objetivos: Apresentar o relatório de atividade do Registo Nacional da Cardiologia de Intervenção (RNCI) com os dados da angiografia e intervenção coronária percutânea em Portugal na última década (de 2014 a 2023). Métodos: Os dados foram baseados no RNCI e os números dos últimos anos foram comparados e complementados com a informação do Atlas ESC em Cardiologia de Intervenção (CI) de 2023, com um questionário que foi aplicado aos responsáveis de cada departamento de Cardiologia de Intervenção. Foi utilizada uma análise de regressão linear para avaliar as tendências de atividade ao longo do tempo. Resultados: De 2014 a 2023, foram reportadas 160.101 intervenções coronárias percutâneas (ICP) no RNCI. O número anual de ICP na última década manteve-se constante (1360/milhão de habitantes em 2014 para 1322/milhão em 2023; R2 = 0,039, p = 0,276). Por outro lado, verificou-se um aumento de 22% nas ICP primárias (306/milhão de habitantes em 2014 para 374/milhão de habitantes em 2023; R2 = 0,759, p < 0,001) e uma redução das disparidades geográficas na penetração da ICP primária em todo o território nacional. As seguintes tendências em ICP foram observadas: um aumento de 43% nas ICP realizadas por acesso radial (57,4% em 2014 para 82,1% em 2023; R2 = 0,908, p< 0,001), um aumento de 27% no uso de stents farmacológicos (78,4% em 2014 para 99,2% de todas as ICP com stents em 2023; R2 = 0,638, p = 0,003) e uma redução de 47% na trombectomia durante ICP primária (35,0% em 2014 para 18,6% em 2023; R2 = 0,649, p = 0,003). Verificou-se um ligeiro aumento na utilização de dispositivos de diagnóstico intracoronário durante a ICP, com a imagiologia intravascular e as avaliações fisiológicas a atingirem 7,6% e 4,2%, respetivamente, em 2023. Conclusão: O RNCI reflete as mudanças na nossa prática ao longo do período do estudo. O volume anual de ICP por milhão de habitantes manteve-se estável devido ao aumento da ICP primária, equilibrado pela diminuição das indicações por síndrome coronária crónica. As assimetrias geográficas foram significativamente reduzidas graças à expansão dos centros com capacidade para realizar ICP, traduzindo-se num acesso mais universal à intervenção percutânea coronária. |
| format | Article |
| id | doaj-art-976ad5a8f32442a38360f2fbc2687678 |
| institution | Kabale University |
| issn | 0870-2551 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Revista Portuguesa de Cardiologia |
| spelling | doaj-art-976ad5a8f32442a38360f2fbc26876782025-08-20T03:44:55ZengElsevierRevista Portuguesa de Cardiologia0870-25512025-06-0144633534510.1016/j.repc.2024.12.003Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023Rita Calé0Hélder Pereira1André Luz2Rui Campante Teles3Marco Costa4João Carlos Silva5Pedro Braga6Pedro Pinto Cardoso7Rui Cruz Ferreira8Filipe Seixo9João Costa10Hélder Ribeiro11João Brum da Silveira12Pedro Costa Ferreira13Jorge Guardado14Pedro Farto e Abreu15Renato Fernandes16Hugo Vinhas17Dinis Martins18Graça Caires19Tiago Adrega20Rui Caria21Luís Bernardes22José Baptista23Pedro de Araújo Gonçalves24Eduardo Infante Oliveira25Paulino Sousa26Carlos Braga27Pedro Jerónimo Sousa28Manuel Almeida29Hospital Garcia de Orta EPE, Almada, Portugal; Corresponding author.Hospital Garcia de Orta EPE, Almada, Portugal; Centro Cardiovascular da Universidade de Lisboa-CCUL (CCUL@RISE), CAML, Faculdade de Medicina, Universidade de Lisboa, PortugalCentro Hospitalar do Porto – Hospital de Santo António, Porto, Portugal; Medicine Department, Cardiovascular Research Group at UMIB, ICBAS, University of Porto, Porto, PortugalCentro Hospitalar de Lisboa Ocidental – Hospital de Santa Cruz, Carnaxide, Portugal; Comprehensive Health Research Center (CHRC), Nova Medical School, Lisboa, PortugalCentro Hospitalar e Universitário de Coimbra – CHC, Coimbra, PortugalCentro Hospitalar de São João EPE, Porto, PortugalCentro Hospitalar de Vila Nova de Gaia/Espinho – Hospital Eduardo Santos Silva, Vila Nova de Gaia, PortugalCentro Hospitalar de Lisboa Norte, EPE – Hospital de Santa Maria, Lisboa, PortugalCentro Hospitalar Lisboa Central, EPE – Hospital de Santa Marta, Lisboa, PortugalCentro Hospitalar de Setúbal EPE – Hospital de São Bernardo, Setúbal, PortugalHospital de Braga, EPE, Braga, PortugalCentro Hospitalar de Trás-os Montes e Alto Douro EPE – Hospital de Vila Real, Vila Real, PortugalCentro Hospitalar do Porto – Hospital de Santo António, Porto, PortugalHospital de São Teotónio – Viseu, PortugalCentro Hospitalar de Leiria, EPE – Hospital Santo André, Leiria, PortugalHospital Professor Doutor Fernando da Fonseca EPE, Amadora, PortugalHospital do Espírito Santo – Évora, Évora, PortugalHospital de Faro EPE, Faro, PortugalHospital do Divino Espírito Santo de Ponta Delgada, EPE, São Miguel, PortugalHospital Central do Funchal, Funchal, Madeira, PortugalCentro Hospitalar do Baixo Vouga, EPE, Aveiro, PortugalHospital da Cruz Vermelha Portuguesa, Lisboa, PortugalHospital CUF Tejo, Lisboa, PortugalUnidade de Intervenção Cardiovascular – Alvor, Algarve, PortugalHospital da Luz, Lisboa, Portugal; Comprehensive Health Research Center (CHRC), Nova Medical School, Lisboa, PortugalHospital Lusíadas, Lisboa, PortugalHospital CUF Porto, Porto, PortugalHospital de Braga, EPE, Braga, PortugalCentro Hospitalar de Leiria, EPE – Hospital Santo André, Leiria, PortugalCentro Hospitalar de Lisboa Ocidental – Hospital de Santa Cruz, Carnaxide, Portugal; Comprehensive Health Research Center (CHRC), Nova Medical School, Lisboa, PortugalIntroduction 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. Resumo: Introdução e objetivos: Apresentar o relatório de atividade do Registo Nacional da Cardiologia de Intervenção (RNCI) com os dados da angiografia e intervenção coronária percutânea em Portugal na última década (de 2014 a 2023). Métodos: Os dados foram baseados no RNCI e os números dos últimos anos foram comparados e complementados com a informação do Atlas ESC em Cardiologia de Intervenção (CI) de 2023, com um questionário que foi aplicado aos responsáveis de cada departamento de Cardiologia de Intervenção. Foi utilizada uma análise de regressão linear para avaliar as tendências de atividade ao longo do tempo. Resultados: De 2014 a 2023, foram reportadas 160.101 intervenções coronárias percutâneas (ICP) no RNCI. O número anual de ICP na última década manteve-se constante (1360/milhão de habitantes em 2014 para 1322/milhão em 2023; R2 = 0,039, p = 0,276). Por outro lado, verificou-se um aumento de 22% nas ICP primárias (306/milhão de habitantes em 2014 para 374/milhão de habitantes em 2023; R2 = 0,759, p < 0,001) e uma redução das disparidades geográficas na penetração da ICP primária em todo o território nacional. As seguintes tendências em ICP foram observadas: um aumento de 43% nas ICP realizadas por acesso radial (57,4% em 2014 para 82,1% em 2023; R2 = 0,908, p< 0,001), um aumento de 27% no uso de stents farmacológicos (78,4% em 2014 para 99,2% de todas as ICP com stents em 2023; R2 = 0,638, p = 0,003) e uma redução de 47% na trombectomia durante ICP primária (35,0% em 2014 para 18,6% em 2023; R2 = 0,649, p = 0,003). Verificou-se um ligeiro aumento na utilização de dispositivos de diagnóstico intracoronário durante a ICP, com a imagiologia intravascular e as avaliações fisiológicas a atingirem 7,6% e 4,2%, respetivamente, em 2023. Conclusão: O RNCI reflete as mudanças na nossa prática ao longo do período do estudo. O volume anual de ICP por milhão de habitantes manteve-se estável devido ao aumento da ICP primária, equilibrado pela diminuição das indicações por síndrome coronária crónica. As assimetrias geográficas foram significativamente reduzidas graças à expansão dos centros com capacidade para realizar ICP, traduzindo-se num acesso mais universal à intervenção percutânea coronária.http://www.sciencedirect.com/science/article/pii/S0870255125000678RegistoCardiologia de intervençãoAngiografia coronáriaAngioplastiaStentRadial |
| spellingShingle | Rita Calé Hélder Pereira André Luz Rui Campante Teles Marco Costa João Carlos Silva Pedro Braga Pedro Pinto Cardoso Rui Cruz Ferreira Filipe Seixo João Costa Hélder Ribeiro João Brum da Silveira Pedro Costa Ferreira Jorge Guardado Pedro Farto e Abreu Renato Fernandes Hugo Vinhas Dinis Martins Graça Caires Tiago Adrega Rui Caria Luís Bernardes José Baptista Pedro de Araújo Gonçalves Eduardo Infante Oliveira Paulino Sousa Carlos Braga Pedro Jerónimo Sousa Manuel Almeida Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023 Revista Portuguesa de Cardiologia Registo Cardiologia de intervenção Angiografia coronária Angioplastia Stent Radial |
| title | Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023 |
| title_full | Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023 |
| title_fullStr | Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023 |
| title_full_unstemmed | Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023 |
| title_short | Portuguese National Registry of Interventional Cardiology: Official report of percutaneous coronary angiography and intervention from 2014 to 2023 |
| title_sort | portuguese national registry of interventional cardiology official report of percutaneous coronary angiography and intervention from 2014 to 2023 |
| topic | Registo Cardiologia de intervenção Angiografia coronária Angioplastia Stent Radial |
| url | http://www.sciencedirect.com/science/article/pii/S0870255125000678 |
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