The United Kingdom national PCI Audit Data have been collected by BCIS since 1991. To view a specific dataset, please choose the year of interest from the sub-menu on the left of this page.

Analysis of the UK 2006 PCI Audit Data were presented by Peter Ludman at the recent BCIS Autumn Meeting in Dublin on September 21st, 2007. The infrastructure for UK intervention has expanded with the addition of 11 new sites performing PCI, bringing the total number of interventional centres to 91 in 2006. A total of 73,692 PCIs were performed, which represents 1,216 per million/population. This increase of 4.4% represents the smallest increase since BCIS records began. The ratio of angiography to PCI, the PCI to CABG remains unchanged at 34% and 3.1% respectively.
The mean number of PCIs being performed in NHS PCI centres was 944, with 12 centres performing fewer than 200 cases, and 11 performing between 200 and 400 procedures. These centres are almost exclusively those that have started recently and are in the early stages of developing their service. The number of interventional cardiologists rose to 519, with a mean of 7 consultants working in each centre, performing a mean of 133 PCIs per operator. The proportion of UK PCI centres with off site surgical cover has risen to 42%, but as these are generally smaller units 79% of all PCI is performed in centres with on site cardiothoracic surgery. There has been a further increase in the use of day case PCI, now representing 7.8% of procedures. 37 centres (49%) now perform primary PCI as the default strategy for the treatment of STEMI during working hours, with 23 of these offering this service 24/7. There has been a smaller increase in the use of drug eluting stents which were used in 63.5% of all cases. The use of GP IIb/IIIa receptor blockers continues to fall (mean 31.3% of cases). The use of the radial artery for access has risen further and so now accounts for 21.3% of all cases. Overall mortality from PCI remains fairly stable at 0.74%, but with a further fall in the use of emergency CABG to 0.09%. Emergency CABG was used in 0.05% of patients treated with off site surgery and 0.1% with on site access.
A number of analyses of procedure specific data were performed. The mean age of patients treated in England and Wales was 64.2 yrs, with women being on average 5 years older (67.4 v 62.3). 17.5% were diabetic. 91.2% were Caucasian and 7.5% asian. Time delays to treatment were analysed. For patients being treated for NSTEMI / UA or convalescent STEMI, total length of stay was 6.4 days, with arrival at first hospital to PCI delay of 5.0 days. For patient being treated for acute STEMI in centres for whom primary PCI was the default strategy (24/7), the majority of median door to needle times were well below 90 mins. In patients being treated for unprotected left main stem disease (a cohort of patients predominantly rejected for surgical revascularization), in hospital mortality was 7.0% (this includes presentation in shock). Follow up with ONS tracking (excluding shock) shows a survival at 1 yr of over 95% in stable patients (mean age 67.6yrs), and about 80% in unstable (mean age 72.9 yrs).
CCAD data are now much more complete, with only 7.7% of PCI procedures in England and Wales not represented. A link to the Scottish dataset is imminent. Analyses will now start to include the development of risk adjusted outcome assessment and time delays to treatment.

For a complete list of the 75 NHS and 16 Private UK PCI Centres, and the 90 Diagnostic Catheter Centres, click on the link: