IJN is a regional and national referral center for percutaneous coronary intervention (PCI). A total of 3,273 cardiac 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 to 2016
One of the key performance measures is the use of appropriate medications before and after PCI. IJN achieved 99% use for all medication categories, which is comparable with ACC – National Cardiovascular Data Registry (NCDR).
The rate of in-hospital mortality among patients who had PCI procedures at IJN in 2016 is lower compared with ACC – National Cardiovascular Data Registry (NCDR).
Door-to-Balloon Time (N = 62) 2012 to 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 access than other comparable hospitals (n= 2423). The use of radial access is associated with reductions in bleeding complications, readmission rates, infection, and recovery time compared with PCI procedures done using a femoral approach.
Surgical Treatment for Ischemic Heart Disease (N = 3,280), 2015 to 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 re-operations.