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.
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).
The rate of in-hospital mortality amongpatients who had PCI procedures atIJN in 2016is lower compared with ACC- National Cardiovascular Data Registry (NCDR).
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.
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
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.
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 occurred in almost 3%of patients who had isolated CABG surgery at IJN in 2016.