Interventional Cardiology in Shiraz Hospitals during Year 2006.

Background:

Cardiovascular disease, especially coronary artery disease, is the major cause of death in Iran after age 44.Revascularization procedures have pivotal role in improving quality of life in these patients. Data from cardiac intervention in Shiraz Hospitals can be compared with other centers to improve our faculties and equipments, better management of our future programs and ranking of Shiraz catheterization centers degree among other cities in Iran and Middle East.

Materials and Methods:

an annual survey (year 2006) on cardiac intervention procedures was performed in Faghihi and Namazi Hospitals of Shiraz University of Medical Science, Dena Hospital, Ordibehesht Hospital, Shiraz Central Hospital (MRI), and Kowsar Heart Hospital. Randomly 832 angiograms were selected and analyzed.

Results:

1) During year 2006, 11999 diagnostic angiographies and 2267 angioplasties were performed of which coronary stenting was performed in 99.48 %. 2) Left anterior descending coronary artery is the most frequent coronary involvement by significant lesion, followed by left circumflex coronary artery (opposite to year 2005). 3) By 3.7 % reduction in normal angiograms, we can conclude that patient selection for catheterization was more rational than year 2005. 4) CABG (Coronary Artery Bypass Graft) is the most recommendation by faculties of these hospitals, but less than year 2005 (36.7% to 31.3 %). 5) PTCA procedures were developed by 2.6 % in comparison to year 2005. 6) Drug-eluting stent and bare-metal stent were placed in 53.70 % (40.7 % in year 2005) and 46.30 % of patients, respectively. 7) Peripheral artery catheterizations were performed rather more than last year.

Conclusion:

It was concluded that despite coronary stenting remains the fastest growing procedure in interventional cardiology, in our society CABG is the leading choice of treatment. Although, angioplasty growing in Shiraz, since year 2005, is acceptable.