National Audit of Percutaneous Coronary Intervention: 2022 Summary report
The National Audit of Percutaneous Coronary Intervention (NAPCI), which is part of the National Cardiac Audit Programme (NCAP), has published its latest summary report. Based on data from April 2020 to March 2021, it focuses on a number of specific quality improvement (QI) metrics in relation to the delivery of PCI services derived from national and/or international standards and guidelines.
The report found an increase in the proportion of day cases, with 69% of elective PCI procedures performed as a day case, up from 64% in 2018/19 (though there was wide variation in practice, determined by local logistic issues and not patient characteristics). Other key findings include:
- Intravascular imaging was used in 67% of cases involving left main stem PCI, rising from 57% the previous year (but with wide variability between hospitals)
- The use of primary PCI was up 2% in 2020/21 compared with the previous year (partly driven by the procedure being an alternative to surgery in appropriate cases), but
- There was a significant fall in PCI procedures, down 10% from just over 100,000 in 2019/20 to 90,708 in 2020/21.
The report also found a wide variation in the use of intracoronary imaging (ICI) in PCI when undertaking PCI to treat the unprotected left main stem (LMS). As such it goes on to recommend that that operators undertaking Left Main Stem PCI use intravascular imaging (either IVUS or OCT) to guide interventional strategy and optimise stent expansion and apposition, in line with international consensus statements around best practice.
Read the full report: You can read the report by clicking on the link below.
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