Coronary disease & ACSCross-sectional study

Atlas of interventional cardiology 2023: European Society of Cardiology and European Association of Percutaneous Coronary Interventions

Eur Heart JPublished

  • Cross-sectional survey study
  • multinational
  • national society survey
  • Data subjected to multi-step quality control

Authors' conclusion

The third edition of the ESC-European Association of Percutaneous Cardiovascular Interventions Atlas highlights significant progress in percutaneous cardiovascular interventions across Europe but also underscores persistent disparities.

Study context

Population
European Society of Cardiology (ESC) national society member countries (interventional cardiology practice, 2023 survey; trends 2013–22)
Participants
50 ESC member countries

Main finding

As reported in the abstract

Interventional cardiology practice across ESC member countries
Percutaneous coronary intervention (PCI) share of all percutaneous CV interventions
>90%
Correlation of TAVI rate with gross national income
r = .86
Correlation of transcatheter mitral procedure rate with gross national income
r = .63
Correlation of transcatheter tricuspid procedure rate with gross national income
r = .64
Women among all cardiologists
39%
Women among interventional cardiologists
10%
Women among PCI recipients
<30%
Women among patients with ischaemic heart disease
>40%

Observational data: associations, not effects.

Further findings

Temporal trends 2013-22

Narrowing gap in PCI and primary PCI volumes between regions
Growth in structural valve interventions disproportionately concentrated in wealthier countries

Original publication

Atlas of interventional cardiology 2023: European Society of Cardiology and European Association of Percutaneous Coronary Interventions. Eur Heart J. Published 29 August 2025. doi:10.1093/eurheartj/ehaf698

Summarised from the published abstract; every number is checked against it