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Ischemic Heart Disease– Interventional Treatment

Cardiac Catheterization Laboratory Procedures

IJN is the regional and national referral centre for percutaneous coronary intervention (PCI). A total of 15,231 cardiac catheterization procedures were performed in 2021 to treat patients with simple and complex ischemic heart disease.

Use of Appropriate Process Measures: Medications 2019 – 2021 (N = 4,896)

One of the key performance measures is the use of appropriate medications before and after PCI.

From the year 2019 to 2021, IJN achieved 98% use for all medication categories, which is comparable with ACC-National Cardiovascular Data Registry (NCDR).

PCI Procedure, In-Hospital Mortality 2017 - 2021

The rate of in-hospital mortality among patients who had PCI procedures at IJN in 2021 is lower compared with ACC- National Cardiovascular Data Registry (NCDR).

Door-to-Balloon Time 2017 – 2021 (N=1,444)

IJN continues to improve door-to-balloon time to reduce the risk of mortality and morbidity, well below the target of 90 minutes for emergency treatment of Acute Myocardial Infarction or heart attacks. (American College of Cardiology/American Heart Association (ACC/AHA) guidelines for PCI inflation).

In 2021 IJN median Door-to-Balloon time was 55 minutes.

Cardiac Catheterization procedures - Use of Radial Access 2019 - 2021 (N= 18,197)

In 2021, IJN performed more cardiac catheterization procedures using radial access than other comparable hospitals(n= 5885).

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
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