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Portugal: coronary and structural heart interventions from 2010 to 2015

1. Centro Hospitalar de Lisboa Ocidental - Hospital de Santa Cruz, Lisbon, Portugal; 2. Associação Portuguesa de Intervenção Cardiovascular (APIC), Lisbon, Portugal; 3. Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal; 4. Centro Hospitalar de Lisboa Norte, EPE - Hospital de Santa Maria, Lisbon, Portugal; 5. Centro Hospitalar Lisboa Central, EPE - Hospital de Santa Marta, Lisbon, Portugal; 6. Centro Hospitalar de Setúbal EPE - Hospital de São Bernardo, Setúbal, Portugal; 7. Centro Hospitalar e Universitário de Coimbra Hospital Geral - CHUC-HG, Coimbra, Portugal; 8. Hospital de São Marcos, Braga, Portugal; 9. Centro Hospitalar de São João EPE, Porto, Portugal; 10. Hospital Garcia de Orta EPE, Almada, Portugal; 11. Hospital Professor Doutor Fernando da Fonseca EPE, Amadora, Portugal; 12. Centro Hospitalar de Leiria, Leiria, Portugal

The aim of the present paper is to report trends in Portuguese interventional cardiology from 2010 to 2015. We studied data from the prospective multicentre Portuguese National Registry of Interventional Cardiology (RNCI) to analyse percutaneous coronary intervention (PCI) procedures and structural heart interventions from 2010 to 2015. A total of 73,977 PCIs and 780 transcatheter aortic valve implants were performed during the study period. Since 2010 there has been a 60% increase in PCI procedures and a twofold increase in primary angioplasty rates reaching 316 per million population. Significant PCI trends were observed, notably the increase of radial access, a reduction in restenosis indications, as well as an increase in stent use, including DES, in imaging and in functional techniques. Importantly, there was a fourfold increase in the TAVI rates reaching 29 per million population.

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