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AUSTRIAS ANGIOGRAPHY and PCI- CENTERS 2011

AUSTRIAS ANGIOGRAPHY and PCI- CENTERS 2011. 4 Pediatric 36 Adult ( 11 in Vienna) Rooms (n=49) http://iik.i-med.ac.at. Monitor (Auditor) Report: 1990 – 2012. http://iik.i-med.ac.at L.Kaltenbach, H. Ulmer, C.Kobel

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AUSTRIAS ANGIOGRAPHY and PCI- CENTERS 2011

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  1. AUSTRIAS ANGIOGRAPHY and PCI- CENTERS 2011 • 4 Pediatric • 36 Adult (11 in Vienna) • Rooms (n=49) • http://iik.i-med.ac.at Volker Mühlberger, Quality

  2. Monitor (Auditor) Report: 1990 – 2012 • http://iik.i-med.ac.at L.Kaltenbach, H. Ulmer, C.Kobel • www.kardiologie.insel.ch/2164.htmlB Meier - St Cook, "personal communication Micha T. Maeder, later Ckaiser@uhbs.ch“ • www.herzbericht.deE.Bruckenberger • Georg Norman (SC) • „Subregister“ = „true registry“ Volker Mühlberger, Quality

  3. AUSTRIA 2010 / 2011 • Angiography 55.138 53.808 • PTCA=PCI 20.294 20.295 • -stent 92% 91% • - - DES 75% 78% • OP-CAD (Bruckenberger : 2008=4.248) Schistek 2.737 • OP- valve (Bruckenberger: 2008=2.280) Schistek 2.583 Volker Mühlberger, Quality

  4. Coronary Angiography Frequency per Million Inhabitants 1992-2011 Volker Mühlberger, Quality

  5. NUMBER OF CENTERS with<400 CA /year vs. <200 PCI/year vs.CA/y(*t) Volker Mühlberger, Quality

  6. Case load per physician PCI / CA (AU / CH) Volker Mühlberger, Quality

  7. % PCI/ CA 1992 - 2011 (AU/CH/D/CZ) Volker Mühlberger, Quality

  8. PCI during Diagnostic Angio (%) in Austria / Switzerland / EU Volker Mühlberger, Quality

  9. % -multivessel PCI Austria / EU/ CH Volker Mühlberger, Quality

  10. Bifurcation PCI, left main stent Austria (% of… reporting centers only -2011) Volker Mühlberger, Quality

  11. PCI per One Million Inhabitants (AU/CH/D/CZ/SL/USA) 1992-2011 Volker Mühlberger, Quality

  12. PCI Frequency in Austria 2006-2011 acute or non-acute Indications Volker Mühlberger, Quality

  13. STEMI PCI / acute PCI/ STEMI % (n=) Austria 2007 – 2011 Volker Mühlberger, Quality

  14. Number of tables, CENTERS and Centers with > 36 STEMI - PCI / year Volker Mühlberger, Quality Silber 2005 / DiMario 2006; ESC

  15. PCI Hospital-Mortality (%) in Austria, Switzerland,Germany, EU Volker Mühlberger, Quality

  16. PCI Hospital-Mortality (%) in Austria – true vs. traditional Volker Mühlberger, Quality

  17. PCI Hospital-Mortality (%) 2010 vs 2011 - Austria – allcenters Volker Mühlberger, Quality

  18. PCI -Mortality (%) in Austria 2011 Volker Mühlberger, Quality

  19. Intra – aortic balloon pump for PCI in Austria 2006 -2011 Volker Mühlberger, Quality

  20. PCI -Mortality (ref.=overall-% mortality in Austria) (non-acute / without /with shock) Volker Mühlberger, Quality

  21. PCI –Mortality acute PCI with shock in Austria (ref.= reportingcenters only) Volker Mühlberger, Quality

  22. Akut PCI Mortalität 2011 Volker Mühlberger, Quality

  23. ACUTE PCI (% of total PCI) in AU, CZ,EU, CH (=STEMI only) Volker Mühlberger, Quality

  24. % GP IIb/IIIa for PCI (AU/CH) % dir.ThrombinInhibitor (TI-AU) Volker Mühlberger, Quality

  25. EMERGENCY CABG AFTER PCI (%): MORTALITY in Austria Volker Mühlberger, Quality

  26. Ratio of emergency CABG due to PCI (%): Austria/Switzerland/EU Volker Mühlberger, Quality

  27. Ratio of STENTING per PCI (%) in AU/CH/D/CZ Volker Mühlberger, Quality

  28. DRUG ELUTING stents (DES) in AU,CH,D,EU-CZ (% of stents) Volker Mühlberger, Quality

  29. DRUG ELUTING stents (DES/PCI) versus Re-Stenosis/PCI in Austria (%) Volker Mühlberger, Quality

  30. STENT REDO : Thrombus (n/%), chronic Restenosis (n) Volker Mühlberger, Quality

  31. Puncture site closing devices (% of PCI in AU/CH) Volker Mühlberger, Quality

  32. Puncture site closing devices (% of…..) Volker Mühlberger, Quality

  33. Non-femoral Approach (% of PCI) in AU/ french or german-CH Volker Mühlberger, Quality

  34. Non- femoral Approach 2010/2011 (% of procedure) in Austria Volker Mühlberger, Quality

  35. OLD and NEW DEVICES I Austria 2002-2011 Volker Mühlberger, Quality

  36. OLD and NEW DEVICES II Austria 2002-2011 Volker Mühlberger, Quality

  37. OLD and NEW DEVICES III Austria 1992 -2011 Volker Mühlberger, Quality

  38. OLD and NEW DEVICES („loser“) Austria 2002-2011 • Brachytherapie 163/101/28/3/0/0/0/0/0/0 • Ultraschalltherapie 1/0/0/0/0/0/0/0/0/0 • Transmyokardialer Laser 16/0/13/0/0/0/0/0/0/0 • Spinal Cord Stimulation 4/0/0/0/0/0/0/0/0/0 • Herzohrverschluss links 7/4/13/0/0/0/0/?/? • Stammzellth. -Katheter 1/16/23/12/40/3/0/0/0 stereotaktische Drahtnavigation-/-/-/-/-/33 /13/4/0 Volker Mühlberger, Quality

  39. Austria e.g. LAA closure 2002– 2011 („loser“) v.s. CH 2011 Volker Mühlberger, Quality

  40. Myocardial Biopsies in Austria 2006 -2011 Volker Mühlberger, Quality

  41. Ablation (n) / Electrophysiology (n; %) in CathLab Implantations / Austria Volker Mühlberger, Quality

  42. Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH -2011 Volker Mühlberger, Quality

  43. Intention to audit a center Volker Mühlberger, Quality

  44. Wunschliste AUDIT 2013 • AKH • Wiener Privatklinik • Innsbruck • Graz Uniklinik Volker Mühlberger, Quality

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