Belgium: Coronary and structural heart interventions from 2010 to 2015

Walter Desmet, Adel Aminian, Joëlle Kefer, Joseph Dens, Johan Bosmans, Marc Claeys, Christophe Dubois, Olivier Gach, Luc Janssens, Erwin Schroeder, Paul Vermeersch, Marc Carlier, Edouard Benit, Claude Hanet

Research output: Contribution to journalArticle

Abstract

In a ranking of the gross domestic product per capita in 2015, Belgium ranked 19th in the world according to the International Monetary Fund and the World Bank. It has a Human Development Index of 0.890, in which it is preceded by only 20 other countries in the world. This is, at least in part, due to a well-developed social security system on which all citizens can rely. Over the last 5-10 years, however, this system has come under increasing pressure. This has resulted in insufficient, incomplete and late reimbursement of all technologies that were introduced over the last ten years in the cathlab: intracoronary imaging techniques are not reimbursed at all, and FFR only to a vastly insufficient degree. For several structural heart interventions, a system of limited and incomplete reimbursement has recently been set up, with a requirement to organise these procedures within the frames of hospital networks. Numbers of PCIs have risen by 15% over the last four years, coinciding with an increase in the number of cathlabs by 50%, aiming at better access to primary PCI for STEMI patients. This has also resulted in a decrease in the average procedure volume per centre. Two thirds of PCIs are performed via the radial access. DES penetration has increased to 74%, approaching 100% in some centres, while the uptake of BRS has been very limited so far.

Original languageEnglish
Pages (from-to)Z14-Z16
JournalEuroIntervention
Volume13
DOIs
Publication statusPublished - May 2017
Externally publishedYes

Keywords

  • Belgium
  • Cardiac Surgical Procedures
  • Heart/physiopathology
  • Hospitals
  • Humans
  • Percutaneous Coronary Intervention/methods
  • ST Elevation Myocardial Infarction/surgery
  • Time Factors

Fingerprint Dive into the research topics of 'Belgium: Coronary and structural heart interventions from 2010 to 2015'. Together they form a unique fingerprint.

  • Cite this

    Desmet, W., Aminian, A., Kefer, J., Dens, J., Bosmans, J., Claeys, M., Dubois, C., Gach, O., Janssens, L., Schroeder, E., Vermeersch, P., Carlier, M., Benit, E., & Hanet, C. (2017). Belgium: Coronary and structural heart interventions from 2010 to 2015. EuroIntervention, 13, Z14-Z16. https://doi.org/10.4244/EIJ-D-16-00825