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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.
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Stent For Life Italia Partner meeting Aprile, 4-2012 Alberto Cremonesi
Annual Incidence of Primary 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
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 55%
Summary: The mismatch between scientific evidence and daily practice Thelackoforganised p-PCI networksisassociatedwithfewerpatientsoverallreceivingsomeformofreperfusiontherapy.
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.
Stentfor Life Initiative ITALIA Kick-off Meeting, Rome - April 8th 2011
PCI primarie/1.000.000 abitanti % - +150 N -50 -
Active involvement of institutional stakeholders in health economics Risk sharing agreement Price transparency Health Technology Assessment Reliable clinical data Cost-efficacy studies