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

Aims Percutaneous transluminal coronary angioplasty (PTCA) has become the most widely used major intervention in western medicine. However, there is disparate use of this technique among different European countries and the U.S.A. In an attempt at quality assurance, the working group Coronary Circul...

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Published in:European heart journal 1999-09, Vol.20 (17), p.1261-1270
Main Authors: Maier, W., Enderlin, M.F., Bonzel, T., Danchin, N., Heyndrickx, G., Mühlberger, V., Neuhaus, K.L., Piscione, F., Reifart, N., Antoni, J., Ogurol, Y., Wischnewsky, M.B., Meier on behalf of the AQUA Study Group, Nucleus Clinical Issues, Working Group Coronary Circulation, of the European Society of Cardiology, B.
Format: Article
Language:English
Subjects:
Audit
Biological and medical sciences
coronary angioplastymultinational European study
Diseases of the cardiovascular system
Medical sciences
procedural results
PTCA
quality control
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
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Summary:Aims Percutaneous transluminal coronary angioplasty (PTCA) has become the most widely used major intervention in western medicine. However, there is disparate use of this technique among different European countries and the U.S.A. In an attempt at quality assurance, the working group Coronary Circulation of the European Society of Cardiology has carried out a study on appropriateness, necessity, and performance of PTCA in Europe. The present paper reports on the procedural results of this survey. Methods In a multicentre case-control study in Europe, 750 patients (544 men, 206 women) with documented vascular disease of the From the countries participating in the European Registry of Coronary Intervention, the three countries with the highest absolute PTCA volume (Germany, France, and the United Kingdom) and two randomly selected countries (Belgium and Italy) were chosen for investigation. In these countries, five centres were selected at random according to the following criteria: one centre with >1000, three centres with 300–1000, and one centre with
ISSN:0195-668X
1522-9645
DOI:10.1053/euhj.1998.1307