Homepage 2017-08-11T15:55:12+00:00

“Stent for Life”

Innovative approach to acute coronary syndromes treatment

What is
“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.

  • Portugal
  • Russia
  • Romania
  • Serbia
  • Tunisia
  • Turkey
  • Ukraine
  • France
  • Bulgaria
  • Bosnia and
    Herzegovina
  • Greece
  • Egypt
  • Spain
  • Italy
  • Cyprus

“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

  • September, 2011

    Ukrainian Association of Interventional Cardiology became the affiliative member of european "Stent for Life" initiative

  • 2013

    PCI registry helped to promote hospitals and administrations activities. 7 regions introduced percutaneous reperfusions (30% of Ukraine population got access to them)

  • March, 2013

    the main aspects of the initiative promotion in Ukraine were highligted at the "S4L" forum in Prague

  • April, 2013

    the first presentation of the PCI registry results, as well as situation in Ukraine analysis took place at the XIV Kyiv revascularization course

  • July, 2014

    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

  • November, 2015

    The Ministry of Healthcare of Ukraine supported Ukrainian "Stent for Life" Management board creation

  • May, 2016

    Cabinet of Ministries of Ukraine officially supported "Regional reperfusion networks" development

  • 2016

    22 reperfusion networks work in Ukraine 24/7

Coverage map of Ukraine

  • Kyiv
  • Chernihiv
  • Cherkasy
  • Poltava
  • Zhytomyr
  • Sumy
  • Chernivtsi
  • Kropyvnytskyi
  • Uzhhorod
  • Rivne
  • Kharkiv
  • Kryvyi Rih
  • Mariupol
  • Lutsk
  • Lviv
  • Ternopil
  • Ivano-Frankivsk
  • Khmelnytskyi
  • Vinnytsia
  • Odesa
  • Mykolaiv
  • Kherson
  • Dnipro
  • Zaporizhia
  • 24/7 centers cover 22 regions,
    consistent functioning
  • centers with a small number of patients
    cover 4 regions
  • centers without state angiographic equipment
    cover 2 regions
Territory coverage radius,
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.

STEMI/NSTEMI

STEMI/NSTEMI are two types of heart attack course, which have similar symptoms though differ in aetiology (type of coronary arteries affection) and treatment algorithms. Both conditions are displayed differently on ECG. Until recently, both types were registered without any differentiation, which negatively affected statistical data relevance. In the couple of last years the situation has changed for better. "S4L" initiative aim is make percutaneous revascularization easily accessible for the patients with STEMI.

PCI registry

PCI registry displays a number of percutaneous revascularizations, primary stenting and fibrinolysis procedures. The registry is aimed to provide more detailed territory-related information on ACS. The PCI registry introduction promotes medical units activities (the so-called "domino" effect, when medical units follow the success cases to adopt innovations, due to some unified factors).

RRN

RRN - regional reperfusion networks, which include: reperfusion centers (hospitals with the possibility to do urgent stenting), emergency medical care systems (emergency first aid), general practitioners and patient. RRN should ensure 24/7/365 care delivery to the patients with STEMI not in the common hospitals, but in the specific reperfusion center.

Reperfusion paradox

Reperfusion paradox is the phenomenon of reperfusions quantity increases during the primary stenting introduction into healthcare system (compared to the systemic fibrinolysis). On condition of organization and funding changes, the primary PCI becomes the main system of reperfusion therapy.

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).

“STENT FOR LIFE” in numbers

0
increase of PCI in patients with STEMI during 2012-2016
0
hospitals included to the PCI registry (percutaneous coronary interventions)

0
PCIs in patients with STEMI delivered in 2016 in Ukraine

0
reperfusion networks work in Ukraine 24/7

0
Ukrainian regions adopted reperfusion networks

  • Contacts

    Want to join “Stent for Life” initiative?
    Contact us now:

    Maksym Sokolov
    Association Co-Founder

    044 249-88-97
    maksym.sokolov@gmail.com
    Kyiv, Narodnogo Opolchennya str., 5

  • Stent for Life partners: