Audit and quality control in angioplasty in Europe: procedural results of the AQUA Study 1997; assessment of 250 randomly selected coronary interventions performed in 25 centres of five European Countries

Abstract

Based on scrutinized hospital and operator data, the present study revealed a satisfactorily high percentage of justifiable indications, an adequate procedural success rate, and an acceptably low complication rate. Further analysis by an expert panel will address appropriateness, necessity, and procedural performance of the individual cases.

Management and Outcome of Patients With Established Coronary Artery Disease: The Euro Heart Survey on Coronary Revascularization

“…In line with previous reports, we observed a global normalcy rate of 24%. 10,15 This proportion was higher when the primary diagnosis leading to the angiography was stable angina rather than acute CAD. An indication for mechanical revascularization followed the diagnostic angiogram in 57% of all cases screened and in 79% of those with at least one significant stenosis, indicating appropriate use of this invasive and expensive diagnostic procedure.…”

Percutaneous coronary intervention without on site surgical back-up; two-years registry of a large Dutch community hospital

“…This policy resulted in putative scenarios characterised by new ways of working together in a country with its specific geographic features, population distribution, hospitals, well-organised ambulance and medical service. The clinical off-site PCI results were continuously benchmarked against international standards during the entire operational process [19][20][21][22][23][24][25][26][27][28][29].…”

“…A few countries in Europe such as France and England did already report registries on the necessity of emergency surgery following PCI [23][24][25]. However, no definite numbers for a preliminary conclusion on the feasibility of off-site PCI were provided.…”

Randomized Comparison of Primary Stenting and Provisional Balloon Angioplasty Guided by Flow Velocity Measurement

“…However, it would seem from a literature survey that the patients studied represented possibly up to 70% of patients presently treated by percutaneous techniques worldwide. 25,26 …”