AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2016

Präsentation zum Thema: "AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2016"—  Präsentation transkript:

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

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

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

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AUSTRIA / 2014 / 2015 Angiography PCI - stent % 91% % - - DES % % % i.c. device without PCI …………… (2015: 7,4% -bei meldenden 13,1% ) Volker Mühlberger, Quality

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

6 % PCI/ CA 1992 - 2015 (AU/CH/D/CZ)
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7 PCI per One Million Inhabitants (AU/CH/D/CZ/USA) 1991-2015
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8 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

9 PCI Frequency in Austria 2006-2015 acute or non-acute Indications
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10 Acute PCI/ STEMI PCI / % (n=) Austria 2007 – 2015
Volker Mühlberger, Quality

11 ACUTE versus STEMI PCI (% of total PCI) in AU, CH
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Non- femoral (radial) approach (% of procedure) AU- 2011/2012 /2013/2014/ 2015 Volker Mühlberger, Quality

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

14 Trans - radial Access (% of PCI) in AU/ french or german-CH
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15 Trans - radial access (% of CA) in diagnostic Angiography in AU/ CH
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Severe bleeding (% of …reporting only) AUT 2010 / 2011 / 2012 / 2013/ 2014/ 2015 Volker Mühlberger, Quality

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

18 % GP IIb/IIIa for PCI (AU/CH) % ThrombinInhibitor (TI-AU)
Volker Mühlberger, Quality

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

20 PCI Hospital-Mortality (%) in Austria, Switzerland,Germany, EU
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PCI -Mortality (% of procedure) Austria 2011 / 2012 / 2013 / 2014/ 2015 Volker Mühlberger, Quality

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

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

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

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

26 REDO for all chronic restenoses vs. thrombus reporting centres (n/%)
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AUT 2012 / 2013/ 2014 / 2015 (% der PCI) Volker Mühlberger, Quality

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

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AUT (%) CH Volker Mühlberger, Quality

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AUT (%) CH Volker Mühlberger, Quality

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AUT (%) CH Volker Mühlberger, Quality

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AUT (n) CH Volker Mühlberger, Quality

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AUT (n) CH Volker Mühlberger, Quality

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AUT (n) CH Volker Mühlberger, Quality

35 Austria vs. CH 2002– 2015 LAA closure (n)
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36 OLD and NEW DEVICES (n<40.000/a) Austria 1992 -2015
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37 OLD and NEW DEVICES (n<3000/a) Austria 2002-2015
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38 OLD and NEW DEVICES (n<400/a) Austria 2002-2015
Volker Mühlberger, Quality

39 Myocardial biopsies (n) in Austria 2006 -2015
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Ablation (n) / Electrophysiology (n; %) & CathLab Implantations / Austria Volker Mühlberger, Quality

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

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

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

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

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. DANKE SEHR Volker Mühlberger, Quality