AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2016 n = 34 locations * n = 53 rooms *) Herzkatheter -Barmherzige Schwestern LINZ am 31.7.2015 geschlossen Volker Mühlberger, Quality

Monitor (Auditor) Report: 1989 – 2016 (update 29 VII 16) www.iik.i-med.ac.at Lalit Kaltenbach, Hanno Ulmer www.ptca.ch: Marco Roffi – Fabio Rigamonti, Bernhard Meier, Stephane Cook, Micha T. Maeder M.Vestweber www.herzbericht.de Rückmeldequote 75% für 2014 E. Bruckenberger: bis 2011 „Österreichische Spezialregister“ Volker Mühlberger, Quality

ANCALAR AustrianNationalCAthLAbRegisty to describe practice patterns and trends, to identify outliers and to detect safety signals Lauer MS, D´Agostino RB NEJM 2013; 369:1579-81 Volker Mühlberger, Quality

Volker Mühlberger, Quality AUSTRIA 2013 / 2014 / 2015 Angiography 54.566 56.062 54.853 PCI 21.698 23.044 22.538 - stent 92% 91% 92% - - DES 85% 92% 96% i.c. device without PCI …………….. 1.808 (2015: 7,4% -bei meldenden 13,1% ) Volker Mühlberger, Quality

Coronary Angiography Frequency per Million Inhabitants 1992-2016 2011 bereits eingegeben = erscheint nicht am Diagramm = wie letztes Jahr?? Volker Mühlberger, Quality

% PCI/ CA 1992 - 2015 (AU/CH/D/CZ) Volker Mühlberger, Quality

PCI per One Million Inhabitants (AU/CH/D/CZ/USA) 1991-2015 Volker Mühlberger, Quality

Volker Mühlberger, Quality Silber 2005 / DiMario 2006; ESC Number of tables and CENTERS (AU) with > 36 STEMI - PCI / year + center Volker Mühlberger, Quality Silber 2005 / DiMario 2006; ESC

PCI Frequency in Austria 2006-2015 acute or non-acute Indications Volker Mühlberger, Quality

Acute PCI/ STEMI PCI / % (n=) Austria 2007 – 2015 Volker Mühlberger, Quality

ACUTE versus STEMI PCI (% of total PCI) in AU, CH Volker Mühlberger, Quality

Volker Mühlberger, Quality Non- femoral (radial) approach (% of procedure) AU- 2011/2012 /2013/2014/ 2015 Volker Mühlberger, Quality

Volker Mühlberger, Quality Non- femoral (trans-radial) access (AU): % - switch to femoral during /before PCI Volker Mühlberger, Quality

Trans - radial Access (% of PCI) in AU/ french or german-CH Volker Mühlberger, Quality

Trans - radial access (% of CA) in diagnostic Angiography in AU/ CH Volker Mühlberger, Quality

Volker Mühlberger, Quality Severe bleeding (% of …reporting only) AUT 2010 / 2011 / 2012 / 2013/ 2014/ 2015 Volker Mühlberger, Quality

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

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

Ratio of emergency CABG due to PCI (%) in AU/CH/EU Volker Mühlberger, Quality

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

Volker Mühlberger, Quality PCI -Mortality (% of procedure) Austria 2011 / 2012 / 2013 / 2014/ 2015 Volker Mühlberger, Quality

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

Intra – aortic balloon pump for PCI in Austria 2005 -2014 (CH 2012/13) Volker Mühlberger, Quality

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

DES/stent and re-stenosis REDO reporting Centres (% of stent - AU) Volker Mühlberger, Quality

REDO for all chronic restenoses vs. thrombus reporting centres (n/%) Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2012 / 2013/ 2014 / 2015 (% der PCI) Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2012 / 2013/ 2014 / 2015 (n = ) Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2012 (%) CH Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2013 (%) CH Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2014 (%) CH Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2012 (n) CH Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2013 (n) CH Volker Mühlberger, Quality

Volker Mühlberger, Quality AUT 2014 (n) CH Volker Mühlberger, Quality

Austria vs. CH 2002– 2015 LAA closure (n) Volker Mühlberger, Quality

OLD and NEW DEVICES (n<40.000/a) Austria 1992 -2015 Volker Mühlberger, Quality

OLD and NEW DEVICES (n<3000/a) Austria 2002-2015 Volker Mühlberger, Quality

OLD and NEW DEVICES (n<400/a) Austria 2002-2015 Volker Mühlberger, Quality

Myocardial biopsies (n) in Austria 2006 -2015 Volker Mühlberger, Quality

Volker Mühlberger, Quality Ablation (n) / Electrophysiology (n; %) & CathLab Implantations / Austria Volker Mühlberger, Quality

Volker Mühlberger, Quality Austria 2013 / 2014 /2015 reporting centres Ablation (n) for AFib / for VTac Volker Mühlberger, Quality

Volker Mühlberger, Quality Transcatheter aortic valve implantation (TAVI; n = ) in AU 2015, CH - 2014 Volker Mühlberger, Quality

Volker Mühlberger, Quality Transcatheter aortic valve implantation (TAVI; n = ) in AU 2015, CH - 2014 Volker Mühlberger, Quality

Österr. Kardiol. Gesellschaft 1989–2016. Arbeitsgruppe Intervent Österr.Kardiol.Gesellschaft 1989–2016 Arbeitsgruppe Intervent. Kardiologie Danke sehr

Volker Mühlberger, Quality . DANKE SEHR Volker Mühlberger, Quality