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Report highlights increase in PCI use in UK

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A 2011 report of the National Audit of Percutaneous Coronary Intervention has shown an increase in the number of PCIs performed in the United Kingdom during the last decade, with the percentage of patients receiving primary PCI in the country more than doubling since 2006.

The report collected data from 88,692 PCI procedures from 97 National Health Service PCI centers and seven private hospitals between January and December 2011. According to the report, performance of PCI procedures in 2011 in the United Kingdom nearly doubled from 44,913 in 2002, which came as the result of an expansion of both the number of PCI centers and activity within existing centers. Primary PCI is now the preferred treatment for STEMI in the country in place of thrombolysis, accounting for more than 95% of reperfusion treatment for patients with the condition.

Other data of note in the report include:

• An improvement in treatment times: In 2011, a door-to-balloon time of less than 90 minutes was achieved in 92% of cases and a call-to-balloon time of less than 150 minutes was achieved in 80% of cases, comparing favorably with international data;
• Patients who needed to be transferred between hospitals for primary PCI had longer delays to treatment than those admitted directly to a PCI center by about 50 minutes;
• Use of radial artery access increased from 10% in 2004 to more than 58% in 2011, which was cited as a possible factor in reducing complication rates of the procedure.

In addition, although overall access to PCI and primary PCI has improved in the United Kingdom, there remain large differences between countries, with the lowest number of procedures performed in Wales at 1,170 per million population (pmp) and the highest number in Northern Ireland at 1,751 pmp.

The report was commissioned and funded by the Healthcare Quality Improvement Partnership, led by the British Cardiovascular Intervention Society and managed by the National Institute for Cardiovascular Outcomes Research.

For more information:

British Cardiovascular Intervention Society. National Audit of Percutaneous Coronary Interventional Procedures Public Report: January 2011-December 2011. Updated January 2013.