1 / 44

Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie

Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie. Monitor (Auditor) Report: 2007/2008. European Society of Cardiology WG 10 – EAPCI (2006). AUSTRIA 1990 -2008. BERN ESC. Contact and References:. http://iik.i-med.ac.at (L.Kaltenbach, KP Pfeiffer)

naomi
Download Presentation

Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie Monitor (Auditor) Report: 2007/2008

  2. European Society of CardiologyWG 10 – EAPCI (2006) • AUSTRIA 1990 -2008 BERN ESC

  3. Contact and References: • http://iik.i-med.ac.at (L.Kaltenbach, KP Pfeiffer) • www.kardiologie.insel.ch/2164.html (B Meier - St Cook – MT Maeder) • CARDS; EU Heart J. 2005;26: 308-313 (ESC-WG 10; F.Weidinger) • www.herzbericht.de (E.Bruckenberger)

  4. AUSTRIAN ANGIOGRAPHY +/- PCI- CENTERS 2007 • 4 Pediatric • 34 Adult (10 in Vienna) • Rooms (n=46) • http://iik.i-med.ac.at • 2008: Waidhofen,Braunau, SMZ-Süd Volker Mühlberger, Quality

  5. 120 100 80 % Cathlabs 2003 60 2004 2005 40 20 0 93,2 69,9 46,6 23,3 8,74 5,83 2,91 96,12 78,64 72,82 64,08 37,86 29,13 99,03 75,73 66,99 61,17 58,25 43,69 40,78 34,95 32,04 26,21 90,29 87,38 84,47 81,55 55,34 52,43 49,51 20,39 17,48 14,56 11,65 % ausgefüllte Zeilen 103 parameters were reported by all 31/30/32 cathlabs 2003/2004/2005 Volker Mühlberger, Quality

  6. AUSTRIA 2006/2007 • Angiography 50.667 52.260 • PTCA=PCI 19.263 19.342 • -stent 90% 90% • - - DES 69% 64% • OP-CAD(Unger) 2.801 3.316 • OP-CAD (Bruckenberger) 4.194 • OP- valve 2.700 2.691 • OP- valve (Bruckenberger) 2.127 Volker Mühlberger, Quality

  7. Coronary Angiography Frequency per One Million Inhabitants Volker Mühlberger, Quality

  8. PCI Frequency per One Million Inhabitants (AU/CH/D/CZ/NO) Volker Mühlberger, Quality

  9. % PCI/ CA 1992-2007 (AU/CH/D) Volker Mühlberger, Quality

  10. n= 32 centers - Austria 2005; according to incremental PCI/CA % quota (n=) Volker Mühlberger, Quality

  11. n= 32 centers - according to incremental PCI/CA % quota in Austria 2005; (%=) Volker Mühlberger, Quality

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

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

  14. Ratio of (CABG-OP+PCI) per Angiography in AUCHD Volker Mühlberger, Quality

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

  16. Elective (non-acute) and Overall – PCI-Hospital-Mortality (%) in Austria Volker Mühlberger, Quality

  17. Non-acute and Overall - PCI Hospital-Mortality (%) in Austria Volker Mühlberger, Quality

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

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

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

  21. Infarction as Complication (%) after PCI in Austria, CH, D, EU Volker Mühlberger, Quality

  22. STEMI PCI / acute PCI % Austria 2007 - all Centers Volker Mühlberger, Quality

  23. acute/nonacute PCI % Austria 2004 - all Centers Volker Mühlberger, Quality

  24. Mortality with/without „backup“ Austria 2006 Volker Mühlberger, Quality

  25. acute PCI (% of total PCI) in Austria,Switzerland,EU Volker Mühlberger, Quality

  26. PCI (n) for acute & subacute Myocardial Infarction in Austria Volker Mühlberger, Quality

  27. MORTALITY (%) after PCI for acute & subacute Myocardial Infarction in Austria Volker Mühlberger, Quality

  28. % GP IIb/IIIa for PCI (AU/CH) Volker Mühlberger, Quality

  29. DRUG ELUTING STENTS (%of stents) (DES) in 34 Austrian Centers 2006/2007

  30. DRUG ELUTING STENTS (DES) in AU,CH,D,EU (% of stents) Volker Mühlberger, Quality

  31. DRUG ELUTING STENTS (DES) in Austria (n) Volker Mühlberger, Quality

  32. DRUG ELUTING STENTS (DES) versus REDO in Austria (%) Volker Mühlberger, Quality

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

  34. Brachial and Radial Approach (% of PCI in AU/CH) Volker Mühlberger, Quality

  35. OLD and NEW DEVICES, Austria Volker Mühlberger, Quality

  36. NEW DEVICES Austria 2002 – 2007 („winner“) • Gerinnselentferner 148/173/213/380/580/950 • Stammzelltherapie m.Katheter 21/16/23/12/40 • NOGA Mapping 16/26/26/21/65 • Alkoholablation = PTSMA 4/4/6/15/11/16 • Defektverschlüsse 162/243/269/332/214/202 • Thrombininjektion bei lokaler Gefäßkomplikation -/ 88/143/115/77 • Optical coherence tomography (OTC) -/-/-/-/ 60 Volker Mühlberger, Quality

  37. NEW DEVICES Austria 2002 – 2007 („loser“) • Brachytherapie 163/101/28/3/0/0 • Ultraschalltherapie 1/0/0/0/0/0 • Transmyokardialer Laser 16/0/13/0/0/0 • Spinal Cord Stimulation 4/0/0/0/0/0 • Herzohrverschluss links 7/4/13/0/0 Volker Mühlberger, Quality

  38. „NEW DEVICES“ III Austria 2003 - 2007 • PCI wg. instent-Restenose 737/921/905/1359/1003 • - wegen akuter Stentthrombose -/-/-/-/ 85 • - wegen STEMI -/-/-/-/ 3342 • DES 620/2938/6430/11209/12037/ 11217 • stereotaktische Drahtnavigation-/-/-/-/ ? AKH • perkutaner Aortenklappenersatz –/-/-/-/30 Volker Mühlberger, Quality

  39. Case load per physician PCI CA Volker Mühlberger, Quality

  40. NUMBER OF CENTERS WITH HIGH OR LOW CASE LOAD FOR CA DURING 2000/06 Volker Mühlberger, Quality

  41. NUMBER OF CENTERS WITH HIGH OR LOW CASE LOAD FOR PCI DURING 2000/06 Volker Mühlberger, Quality

  42. CASE LOAD FOR PCI /CA DURING 2007 ACCORDING TO REGIONS OF AUSTRIA Volker Mühlberger, Quality

  43. CASE LOAD FOR PCI /CA DURING 2007 ACCORDING TO REGIONS OF AUSTRIA Volker Mühlberger, Quality

  44. Diskussion in Linz am 28.11.2008 • warum CA + PCI rückläufig? • warum Unterschiede PCI/CA ? • PCI/CA als Qualitätskriterium? • REDO „trotz“ DES • ANTWORT: kommen wir in AUT nicht an die „culprit lesions“ heran? Patient? Zuweiser? Finanz? Wir? Volker Mühlberger, Quality

More Related