title: [Current practice and changing trends in the percutaneous treatment of structural heart disease. Results of a multicenter survey promoted by the Italian Society of Interventional Cardiology in six Italian Regions including Tuscany, Lombardy, Veneto, Emilia-Romagna, Campania and Puglia].
abstract: Significant developments have occurred in the field of percutaneous interventions for structural heart disease over the last decade. The introduction of several innovations has expanded significantly the spectrum of therapeutic applications of structural interventional cardiology. However, the translation of the most recent scientific evidence into clinical practice and the adoption of new technologies may be susceptible to large variability, even within the same geographic area. This study aimed at describing current status and changing trends of structural heart interventions within 6 Regions in Italy.
  
  
  
  Between July 2015 and October 2015, 6 regional delegations of the Italian Society of Interventional Cardiology (SICI-GISE) promoted a web-based multicenter survey concerning structural heart interventions. An ad hoc questionnaire was administered to head physicians of the cath-labs of 4 Regions of Northern Italy (Tuscany, Lombardy, Veneto and Emilia-Romagna) and 2 Regions of Southern Italy (Puglia and Campania). Also, in this study we considered previous data from a similar survey that involved Tuscany, Lombardy, Veneto and Emilia-Romagna between April 2014 and May 2014. Data from the two surveys were compared, observing the changing trends between 2014 and 2015.
  
  
  
  The 2015 survey was completed in more than two thirds (68%) of the 145 eligible cath-labs. According to the survey, the application of percutaneous structural heart interventions and the availability of devices were wide and homogeneous within the 6 Regions involved. The main factors perceived as limiting the execution of structural heart interventions resulted economic (e.g. cost of procedures and devices) or organizational (e.g. limited diffusion of hybrid operating rooms).
  
  
  
  In this study, which was based on the results of a recent survey conducted in 6 Italian Regions, structural heart interventions resulted widely growing throughout the investigated area. The indications for treatment and the availability of devices were relatively homogeneous between the regions involved, as well as the limiting factors, which appear to be mainly economic-organizational.
authors.affiliation: Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova.
authors.forename: Marco
authors.initials: M
authors.lastname: Mojoli
authors.affiliation: Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII, Bergamo.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Musumeci
authors.affiliation: U.O. Cardiologia Diagnostica ed Interventistica, Fondazione Toscana "Gabriele Monasterio", Ospedale del Cuore, Massa.
authors.forename: Sergio
authors.initials: S
authors.lastname: Berti
authors.affiliation: U.O.C. Cardiologia, Azienda USL Toscana Sudest, Grosseto.
authors.forename: Ugo
authors.initials: U
authors.lastname: Limbruno
authors.affiliation: U.O.C. Cardiologia Interventistica, Anthea Hospital, GVM Care & Research, Bari.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Marchese
authors.affiliation: Dipartimento Cardiovascolare, Ospedale Cardarelli, Napoli.
authors.forename: Ciro
authors.initials: C
authors.lastname: Mauro
authors.affiliation: Laboratorio di Emodinamica, U.O. Cardiologia, Ospedale G.B. Morgagni-L. Pierantoni, Forlì
authors.forename: Fabio
authors.initials: F
authors.lastname: Tarantino
authors.affiliation: Dipartimento Cardiovascolare, Policlinico S. Maria alle Scotte, Siena.
authors.forename: Massimo
authors.initials: M
authors.lastname: Fineschi
authors.affiliation: Dipartimento Cardiotoracovascolare, Azienda Socio-Sanitaria Territoriale di Mantova, Mantova.
authors.forename: Corrado
authors.initials: C
authors.lastname: Lettieri
authors.affiliation: U.O. Cardiologia, Azienda Ospedaliero-Universitaria di Parma, Parma.
authors.forename: Alberto
authors.initials: A
authors.lastname: Menozzi
authors.affiliation: Casa di Cura Villa Verde, Taranto.
authors.forename: Luigi
authors.initials: L
authors.lastname: My
authors.affiliation: Emodinamica, A.O.U. San Giovanni di Dio e Ruggi d'Aragona, Salerno.
authors.forename: Tiziana
authors.initials: T
authors.lastname: Attisano
authors.affiliation: U.O.C. Cardiologia, Ospedale San Giacomo, Castelfranco Veneto (TV).
authors.forename: Carlo
authors.initials: C
authors.lastname: Cernetti
authors.affiliation: Dipartimento Cardiovascolare, Ospedale Ca' Foncello, Treviso.
authors.forename: Luca
authors.initials: L
authors.lastname: Favero
authors.affiliation: Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova.
authors.forename: Massimo
authors.initials: M
authors.lastname: Napodano
authors.affiliation: U.O.C. Cardiologia, Ospedali Riuniti Padova Sud, Monselice (PD).
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Pasquetto
authors.affiliation: Laboratorio di Emodinamica, Ospedale S. Maria dei Battuti, Conegliano (TV).
authors.forename: Andrea
authors.initials: A
authors.lastname: Pavei
authors.affiliation: Divisione di Cardiologia, Ospedale Ferrarotto, A.O.U. Policlinico Vittorio Emanuele, Catania.
authors.forename: Alessio
authors.initials: A
authors.lastname: La Manna
authors.affiliation: Cardiologia Invasiva, Azienda Ospedaliero-Universitaria Careggi, Firenze.
authors.forename: Guido
authors.initials: G
authors.lastname: Parodi
authors.affiliation: Laboratorio di Emodinamica, Ospedale Infermi, Rimini.
authors.forename: Andrea
authors.initials: A
authors.lastname: Santarelli
authors.affiliation: U.O. Cardiologia Invasiva, Dipartimento di Scienze Cardiovascolari, Centro Cardiologico Monzino, IRCCS, Milano.
authors.forename: Daniela
authors.initials: D
authors.lastname: Trabattoni
authors.affiliation: Dipartimento di Cardiologia, Ospedale degli Infermi, Rivoli (TO).
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Varbella
authors.affiliation: Cardiologia Ospedaliera, A.O.U. Policlinico di Bari, Bari.
authors.forename: Nicola
authors.initials: N
authors.lastname: Signore
authors.affiliation: Unità di Biostatistica, Epidemiologia e Salute Pubblica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova.
authors.forename: Nicola
authors.initials: N
authors.lastname: Soriani
authors.affiliation: Unità di Biostatistica, Epidemiologia e Salute Pubblica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova.
authors.forename: Dario
authors.initials: D
authors.lastname: Gregori
authors.affiliation: Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova.
authors.forename: Stefano
authors.initials: S
authors.lastname: Figliozzi
authors.affiliation: Clinica Cardiologica, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tarantini
mesh_terms: D006331:Heart Diseases / Q000628:therapy*; D006801:Humans; D007558:Italy; D062645:Percutaneous Coronary Intervention; D011795:Surveys and Questionnaires