“Stent for Life”
Innovative approach to acute coronary syndromes treatment
“STENT FOR LIFE”?
“Stent for Life” – is an international initiative, established by European Society of Cardiology (ESC). The initiative aims to improve urgent cardiology quality and make primary percutaneous coronary intervention (p-PCI) easily accessible for the patients with heart attack symptoms.
The initiative was established at EAPCI General Assembly (European Association of Percutaneous Cardiovascular Interventions) during ESC Congress in 2009 in Barcelona.
“Stent for Life” unites healthcare professionals, interventional cardiologists, patients, partners and goverments of the many countries.
- Bosnia and
“STENT FOR LIFE” in Ukraine
“Stent for Life” initiative in Ukraine was introduced on September 2011, when Ukrainian Association of Interventional Cardiology became the affiliative member.
After a 2012 data analysis on the state of cardiology, a great work on the regional reperfusion network creation was started in Ukraine. These institutions should have become the main component of the system’s upgrade and improvement. The complex approach to the process includes the PCI registry categorization, which allows to get more relevant data on the STEMI and NSTEMI prevalence and mortality.
The Ministry of Healthcare of Ukraine order #455, from 04.07.2014, ratified the Unified clinical protocol for treating patients with ACS with ST-segment elevation. The revolutionary document enabled S4L initiative expansion and primary PCI quantity increase.
As of 2015, number of percutaneous reperfusions rates reached 142 patients per million people. Since 2016, the reperfusion networks creation has been supported by the Cabinet of Ministers of Ukraine.
Key “Stent for Life” achievements
Ukrainian Association of Interventional Cardiology became the affiliative member of european "Stent for Life" initiative
PCI registry helped to promote hospitals and administrations activities. 7 regions introduced percutaneous reperfusions (30% of Ukraine population got access to them)
the main aspects of the initiative promotion in Ukraine were highligted at the "S4L" forum in Prague
the first presentation of the PCI registry results, as well as situation in Ukraine analysis took place at the XIV Kyiv revascularization course
The Ministry of Healthcare of Ukraine order #455, from 04.07.2014, ratified the Unified clinical protocol for treating patients with ACS with ST-segment elevation
The Ministry of Healthcare of Ukraine supported Ukrainian "Stent for Life" Management board creation
Cabinet of Ministries of Ukraine officially supported "Regional reperfusion networks" development
22 reperfusion networks work in Ukraine 24/7
Coverage map of Ukraine
- 24/7 centers cover 22 regions,
- centers with a small number of patients
cover 4 regions
- centers without state angiographic equipment
cover 2 regions
which enables rapid
patients delivery to
the Reperfusion Center, is 70 km
(scaled on the map)
Basic “S4L” concepts
“S4L” idea includes several basic concepts, understanding of which allows to build a complete urgent cardiology system in the nearest future.
What challenges does
“STENT FOR LIFE” solve?
The healthcare delivery to the patients with acute coronary syndromes needs to be reviewed and upgraded. The transformation should be based on a more progressive analysis of patients with different syndromes in order to get more relevant and up-to-date data on treatment outcomes.
Traditionally, because of mixing data on STEMI/NSTEMI, the overall performance was supposedly in line with European standards; however, according to the hospital mortality rate for each of these categories, the indicators are not satisfactory in fact. Proper data analysis helps to solve the problem of the necessary treatment accessibility to the patients with more complex syndrome (with the ST-segment elevation).