Ischemic Heart Disease– Interventional Treatment

Cardiac Catheterization Laboratory Procedures

IJN is a regional and national referral center for percutaneous coronary intervention (PCI). A total of 3,273cardiac catheterization procedures were done in 2016 to treat patients with simple and complex ischemic heart disease.

Use of Appropriate Process Measures: Medications (N = 1,845), 2015-2016

One of the keyperformance measures is theuse of appropriatemedications before and after PCI. IJN achieved 99%use for all medication categories,which is comparablewith ACC-National Cardiovascular Data Registry (NCDR).

PCI Procedure, In-HospitalMortality (N = 1,509), 2016

The rate of in-hospital mortality amongpatients who had PCI procedures atIJN in 2016is lower compared with ACC- National Cardiovascular Data Registry (NCDR).

Door-to-Balloon Time (N = 62), 2012 – 2016

IJN continues to improve door-to-balloon time to reduce the risk of mortality and morbidity, meeting the reported criteria at 90 minutes (American College of Cardiology/American Heart Association (ACC/AHA) guideline for PCI inflation). IJN median door-to-balloon time for patients decreased from 78 minutes in 2012 to 45 minutes in 2016.

PCI Procedures — Use of Radial Access (N = 4,536), 2016

In 2016, IJN performed more PCI procedures using radial accessthan other comparable hospitals (n= 2423). The use of radial access is associated withreductions in bleeding complications, readmission rates, infection, and recoverytime compared with PCI procedures done using a femoral approach.

Surgical Treatment for Ischemic Heart Disease (N = 3,280), 2015 –2016

CABG Volume

IJN surgeons performed 1,718 coronary artery bypass graft (CABG) procedures in 2016. A total of 179 were in combination with another procedure and 1,539 were isolated procedures, including reoperations.

Isolated CABG: Additional OutcomesDeep Sternal Wound Infection (N=56), 2015 – 2016

The rate of deep sternal wound infection after CABG surgery was 2.1% in year 2016 and is lower compared with the expected rate of 4.5%.

Postoperative Renal Failure for Isolated CABG (N=166), 2015 – 2016

Postoperative renal failure occurred in almost 3%of patients who had isolated CABG surgery at IJN in 2016.

 

 

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