AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2015

Präsentation zum Thema: "AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2015"—  Präsentation transkript:

1 AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2015
n = 34 locations n = 52 rooms Volker Mühlberger, Quality

2 Monitor (Auditor) Report: 1989 – 2016 (update 24 IV 16)
Lalit Kaltenbach, Hanno Ulmer Marco Roffi – Fabio Rigamonti, Bernhard Meier, Christoph Kaiser, Micha T. Maeder M.Vestweber Rückmeldequote 75% für 2014 bis 2011: E. Bruckenberger „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

4 Volker Mühlberger, Quality
AUSTRIA / Angiography PCI - stent % 91% - - DES % 92% Volker Mühlberger, Quality

5 Coronary Angiography Frequency per Million Inhabitants 1992-2014
2011 bereits eingegeben = erscheint nicht am Diagramm = wie letztes Jahr?? Volker Mühlberger, Quality

6 % PCI/ CA 1992 - 2014 (AU/CH/D/CZ)
Volker Mühlberger, Quality

7 PCI per One Million Inhabitants (AU/CH/D/CZ/USA) 1991-2014
Volker Mühlberger, Quality

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 2006-2014 acute or non-acute Indications
Volker Mühlberger, Quality

10 Acute PCI/ STEMI PCI / % (n=) Austria 2007 – 2014
Volker Mühlberger, Quality

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

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

13 Volker Mühlberger, Quality
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
Volker Mühlberger, Quality

15 Trans - radial Access (% of CA) in diagnostic Angiography in AU/ CH
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16 Volker Mühlberger, Quality
Severe bleeding (% of …reporting only) AUT 2010 / 2011 / 2012 / 2013/ 2014 Volker Mühlberger, Quality

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

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

21 Ratio of STENTING per PCI (%) in AU/CH -2011/D/CZ
Volker Mühlberger, Quality

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

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

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

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

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

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

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

29 REDO for all chronic restenoses vs. thrombus reporting centres (n/%)
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30 Volker Mühlberger, Quality
AUT / 2013/ 2014 (%) Volker Mühlberger, Quality

31 Volker Mühlberger, Quality
AUT / 2013/ 2014 (n) Volker Mühlberger, Quality

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

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

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

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AUT (n) CH Volker Mühlberger, Quality

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

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

38 Austria vs. CH 2002– 2014 LAA closure (n)
Volker Mühlberger, Quality

39 OLD and NEW DEVICES (n<40.000/a) Austria 1992 -2014
Volker Mühlberger, Quality

40 OLD and NEW DEVICES (n<3000/a) Austria 2002-2014
Volker Mühlberger, Quality

41 OLD and NEW DEVICES (n<400/a) Austria 2002-2014
Volker Mühlberger, Quality

42 Myocardial biopsies (n) in Austria 2006 -2014
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43 Volker Mühlberger, Quality
Ablation (n) / Electrophysiology (n; %) & CathLab Implantations / Austria Volker Mühlberger, Quality

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

45 Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH - 2014
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46 Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH - 2014
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47 Österr. Kardiol. Gesellschaft 1989–2015. Arbeitsgruppe Intervent
Österr.Kardiol.Gesellschaft 1989–2015 Arbeitsgruppe Intervent. Kardiologie Danke sehr

48 Volker Mühlberger, Quality
. DANKE SEHR Volker Mühlberger, Quality