Invasive Cardiology in Turkey: Procedures During 1994-97

Cardiac invasive procedures have been performed in rapidly increasing numbers in recent years, in Turkey. White 31.4 79 cardiac catheterization and coronary angiographies and 4.704 PTCA were registered in ı 994, 73.294 coronary angiography and 12.098 PTCA procedures were performed in ı 997. This represents an astonishing mean annual increase by about 35%. Of the figure related to PTCA, coronary stents were inserted in 5518 patients in 1997 in 38 cardiac centers. Balloon angioplasties had the following rates of major complications in the last year of the survey: acute obstruction in 2.5%, Q-wave and non-Q myocardial infaretion in 3%, emergency bypass surgery in 0.7% anddeathin 0.33%. On the other hand, stent complications were noted with the following incidences: acute and subacute thrombosis in 2.4%, Qwave and non-Q myocardial infaretion in 1.5%, emergency bypass surgery in 0.7% and death in o.ı 8%. In ı 994, 403 mitral valvuloplasty, 90 pulmonary, 18 aortic and 6 tricuspid valvuloplasty were carried out. In 1997,509 mitral valvuloplasty, 51 pulmonary, ı4 aortic and 5 tricuspid valvuloplasty were applied. The cost of all cardiac invasive prodecures in ı997 was estimated as US$ 119 mi11ion. Key Words: