Report about trends of interventional cardiology procedures in Italy

20

Nov 2017

Increasing trends in number of interventional cardiology procedures has been observed across Italian centres. GISE analysed data from 2016 and published trends for 2012–2016 together with brief overviews for all Italian Regions. Some of the procedures showed a marked increasing trend while others have been performed less frequently than in the past years.

  • PCI: Total number of procedures performed during 2016 was 153,922 (+5.1% if compared to 2015). In 2012, the total number was 138,030.
  • Thrombectomy: Total number of procedures performed during 2016 was 14,688 (-5.6% if compared to 2015). In 2012, the total number was 17,136.
  • DES: Total number of drug eluting stents (DES) used during 2016 was 211,751 (+11% if compared to 2015). In 2012, the total number was 137,680.
  • FFR: Total number of fractional flow reserve (FFR) guides used during 2016 was 11,000 (+10.3% if compared to 2015). In 2012, the total number was 7,868.
  • IVUS and OCT: After a decreasing trend in 2012–2015, the total number of intravascular ultrasound (IVUS) procedures showed a +16% in 2016 (7,802 procedures). The opposite happened to optical coherence tomography (OCT) which in 2016 showed a -3% (2,364 procedures) after an increasing trend in 2012–2015.  
  • TAVI: Total number of TAVI performed during 2016 showed a marked increase with 4,592 procedures (+32% if compared to 2015). The report shows also the different TAVI systems used in the last two years: Edwards Sapien and CoreValve were the most used with 1,275 (38%) and 1,587 (48%), respectively in 2016.  
  • Mitral clip: Total number of MitraClip devices used in 2016 was 907 (+31.6% if compared to 2015). In 2012, the total number was 291.
  • Left appendage occlusion: Closure of LAA showed a marked increase with a total of 674 procedures (+49.4% if compared to 2015). In 2012, the total number was only 208 procedures.
  • Patent foramen ovale closure: Closure of PFO showed an increase with a total number of 2,516 procedures (+5.8% if compared to 2015). In 2012, the total number was similar: 2,541.

The report shows also an overview of the activity of the single centres in terms of procedural volume and equipment (software, angiographic systems, hybrid operating room).   

See the full report in Italian here.

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02

May 2017

The Forum of Norwegian payers made decision about introduction of three medical technologies: mechanical thrombectomy for stroke, baroreflex activation therapy for resistant hypertension and non-invasive prenatal testing for detection of trisomy 13, 18 and 21.

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25

Apr 2017

The procedure can be coded in Austria, Denmark, England, Germany, Italy, Netherlands, Norway, Sweden and Switzerland, so payment mechanism is in place, even with an inadequate tariff in some countries. In countries where the procedure is not coded, it cannot be reimbursed. Despite available reimbursement mechanism, funding has not been established yet in majority of geographies.

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13

Apr 2017

The procedure will be included into Prescribed Specialized Services. About 8000 patients can benefit from the treatment annually. Other stroke treatments are commissioned by Clinical Commissioning Groups.

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10

Apr 2017

Reports presents summary of the reimbursement situation in Europe for all developed or currently under development minimally invasive (transapical approach via mini-thoracotomy) and transcatheter mitral valve repair and replacement procedures for mitral regurgitation.

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04

Apr 2017

NICE in the UK has released a consultation document in relation to the TAVI procedure (Interventional Procedure Guidance). Publication of the final guidance, which will replace the guidance from the 2012, is expected in July 2017.

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30

Mar 2017

Our analysis of creation of procedure codes for TAVI in 11 European markets shows different speed in creation of codes, but in general it was a quick process (1.8 years on average). However, in all markets, availability of procedure code did not automatically lead to reimbursement or appropriate reimbursement.

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20

Mar 2017

MTRC has released reimbursement report for transcatheter aortic valve implantation in 11 European countries. Report includes information about procedure coding, payment mechanisms, reimbursement tariffs and policies for TAVI.

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15

Mar 2017

MTRC is working on release of 9 reimbursement reports for medical technologies during March 2017, including report for transcatheter aortic valve replacement and eight minimally invasive mitral valve repair and replacement procedures.

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