Ischemic Heart Disease 2-2

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 11,007 cardiac catheterization procedures were done in 2017 to treat patients with simple and complex Ischemic Heart Disease.

Use of Appropriate Process Measures: Medications (N = 2,695), 2015 - 2017

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).

PCI Procedure, In-Hospital Mortality (N = 3,316), 2017

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=625), 2015 – 2017

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 2015.

PCI Procedures — Use of Radial Access (N = 6,860), 2015 - 2017

In 2017, IJN performed more PCI procedures using radial access than other comparable hospitals (n= 2324).

The use of radial access is associated with reduction in bleeding complications, readmission rates, infection, and recovery time compared with PCI procedures done using a femoral approach.

Data validated by Quality Management, IJN