stent for life italia
DESCRIPTION
Stent For Life Italia. Partner meeting Aprile, 4-2012 Alberto Cremonesi. ESC G uidelines: PCI for a cute CAD. Annual I ncidence of P rimary PCIs. ≥600 p-PCI / million / year 400-599 p-PCI / million / year 200-399 p-PCI / million / year < 200 p-PCI / million / year Data not known. - PowerPoint PPT PresentationTRANSCRIPT
Partner meetingPartner meetingAprile, 4-2012Aprile, 4-2012
Alberto CremonesiAlberto Cremonesi
Recommendations Class LOE
1. PPCI for STEMI (within 2 hours)
2. Rescue PCI for failed fibrinolysis (within 12 hours)
3. PCI for STEMI with shock and contraindications to fibrinolythic therapy irrespective of time delay
4. Angiography and PCI after successful fibrinolysis (within 24 hours)
5. Urgent PCI for hemodynamically unstable NSTE-ACS (within 2 hours)
6. Early PCI for high-risk NSTE-ACS (within 72 hours)
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ESC Guidelines: PCI for acute CAD
≥600 p-PCI / million / year400-599 p-PCI / million / year200-399 p-PCI / million / year<200 p-PCI / million / yearData not known
Annual Incidence of Primary PCIs
Reperfusion Therapies Differ in Countries
P.Widimsky et al. November 19, 2009. Reperfusion therapy for ST elevation acute myocardial infarction in
Europe: description of the current situation in 30 countries. Eur. Heart.J.doi:10.1093/eurheartj/ehp492
Only 55% of all PCI centers offer non-stop 24/7 p-PCI service
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CZ FR BE HU HR PL NO CH ILDE AT DK IT SK BG LIT PT SEES SLO GR UK TR LAT SRB FIN RO
55%
Only 51% STEMI patients arrive to the first hospital by EMS
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% STEM I arriving via EM S
UK
Sw eden
Austria
Czech Rep.
Izrael
Serbia
Spain
Slovakia
Italy
Turkey
G reece
Summary: The mismatch between scientific evidence and daily practice
Stent for Life Initiative Objectives
• Define regions/countries with an unmet medical need in the optimal treatment of ACS.
• Implement an action program to increase patient access to primary PCI where indicated:
– To increase the use of primary PCI to more than 70% among all ST segment elevation myocardial infarction patients,
– To achieve primary PCI rates of more than 600 per one million inhabitants per year,
– To offer 24/7 service for primary PCI procedures at all invasive facilities to cover the country STEMI population need.
STENT for LIFE
Stent for Life InitiativeITALIA
Kick-off Meeting, Rome - April 8th 2011
Iniziative chiave: Iniziative chiave: Stent For Life ItaliaStent For Life Italia
PCI primarie/1.000.000 abitanti
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+150
-50
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%
Iniziative chiave: Iniziative chiave: Stent For Life ItaliaStent For Life Italia
Active involvement of institutional stakeholders in health economics
Reliable clinical dataReliable clinical dataCost-efficacy studiesCost-efficacy studies
Risk sharing Risk sharing agreementagreement
Price transparencyPrice transparency
Health Technology Health Technology AssessmentAssessment