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Volker Mühlberger, Quality AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013 AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013 n n = 34 locations n n = 50 rooms.

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Presentation on theme: "Volker Mühlberger, Quality AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013 AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013 n n = 34 locations n n = 50 rooms."— Presentation transcript:

1 Volker Mühlberger, Quality AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013 AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013 n n = 34 locations n n = 50 rooms

2 Monitor (Auditor) Report: 1989 – 2014 Monitor (Auditor) Report: 1989 – 2014 n Lalit Kaltenbach, Hanno Ulmer Lalit Kaltenbach, Hanno Ulmer n Gregor Fahrni, Christoph Kaiser – Basel Gregor Fahrni, Christoph Kaiser – Basel Bernhard Meier, Micha T. Maeder Bernhard Meier, Micha T. Maeder n Martin Vestweber E.Bruckenberger bis n „Österreichische Spezialregister“ Volker Mühlberger, Quality

3 ANCALAR („Versorgungsforschung “) ANCALAR („Versorgungsforschung “) n to describe practice patterns n and trends, n to identify outliers n and to detect safety signals Lauer MS, D´Agostino RB NEJM 2013; 369: Volker Mühlberger, Quality

4 AUSTRIA 2012 / 2013  Angiography  PCI  - stent 90% 92%  - - DES 85% 85% OP-CAD (Bruckenberger : 2008=4.248)Schistek OP- valve (Bruckenberger: 2008=2.280)Schistek 2.583

5 Volker Mühlberger, Quality Coronary Angiography Frequency per Million Inhabitants Coronary Angiography Frequency per Million Inhabitants

6 Volker Mühlberger, Quality % PCI/ CA (AU/CH/D/CZ)

7 Volker Mühlberger, Quality PCI per One Million Inhabitants (AU/CH/D/CZ/SL/) PCI per One Million Inhabitants (AU/CH/D/CZ/SL/USA)

8 Volker Mühlberger, Quality Silber 2005 / DiMario 2006; ESC Number of tables, CENTERS and centers with > 36 STEMI - PCI / year Number of tables, CENTERS and centers with > 36 STEMI - PCI / year

9 Volker Mühlberger, Quality PCI Frequency in Austria or non-acute Indications PCI Frequency in Austria acute or non-acute Indications

10 Volker Mühlberger, Quality Acute PCI/ STEMI PCI / % (n=) Austria 2007 – 2013 Acute PCI/ STEMI PCI / % (n=) Austria 2007 – 2013

11 Volker Mühlberger, Quality ACUTE minus STEMI PCI (% of total PCI) in AU, CH, CZ, ACUTE minus STEMI PCI (% of total PCI) in AU, CH, CZ, EU

12 Non- femoral (radial) approach (% of procedure) AUT 2011/2012 /2013 Non- femoral (radial) approach (% of procedure) AUT 2011/2012 /2013 Volker Mühlberger, Quality

13 Non- femoral approach (% of PCI ) in AU/ french or german-CH Non- femoral approach (% of PCI ) in AU/ french or german-CH

14 Severe bleeding (% of …reporting only ) AUT 2010 / 2011 / 2012 / 2013 Severe bleeding (% of …reporting only ) AUT 2010 / 2011 / 2012 / 2013 Volker Mühlberger, Quality

15 Bifurcation PCI, left main stent Austria ( % of PCI … reporting centers only ) Volker Mühlberger, Quality

16 % GP IIb/IIIa for PCI (AU/CH) % dir.ThrombinInhibitor (TI-AU)

17 Volker Mühlberger, Quality Ratio of emergency CABG due to PCI (%): Austria/Switzerland/ Ratio of emergency CABG due to PCI (%): Austria/Switzerland/EU

18 Volker Mühlberger, Quality PCI Hospital-Mortality (%) in Austria, Switzerland,Germany, EU

19 PCI -Mortality (% of procedure) in Austria 2011 / 2012 / 2013 Volker Mühlberger, Quality

20 PCI -Mortality ( ref.=overall-% mortality in Austria ) (non-acute / without /with shock) PCI -Mortality ( ref.=overall-% mortality in Austria ) (non-acute / without /with shock)

21 Intra – aortic balloon pump for PCI in Austria (CH 2012/13) Volker Mühlberger, Quality

22 DRUG ELUTING stents (DES) in AU,CH,D,EU-CZ (% of stents)

23 Volker Mühlberger, Quality DES/stent and re-stenosis REDO reporting Centres (% of stent) DES/stent and re-stenosis REDO reporting Centres (% of stent)

24 Volker Mühlberger, Quality REDO for all chronic restenoses vs. thrombus reporting centres (n/%) REDO for all chronic restenoses vs. thrombus reporting centres (n/%)

25 AUT 2012 CH AUT 2012 CH Volker Mühlberger, Quality

26 AUT 2013 CH AUT 2013 CH Volker Mühlberger, Quality

27 AUT 2012 CH AUT 2012 CH Volker Mühlberger, Quality

28 AUT 2013 CH AUT 2013 CH Volker Mühlberger, Quality

29 Austria vs. CH 2002– 2013 LAA closure Volker Mühlberger, Quality

30 OLD and NEW DEVICES (35.000/a) Austria OLD and NEW DEVICES (35.000/a) Austria

31 Volker Mühlberger, Quality OLD and NEW DEVICES (<3000/a) Austria

32 OLD and NEW DEVICES (<400/a) Austria OLD and NEW DEVICES (<400/a) Austria Volker Mühlberger, Quality

33 Myocardial biopsies in Austria Volker Mühlberger, Quality

34 Ablation (n) / Electrophysiology (n; %) & CathLab Implantations / Austria Ablation (n) / Electrophysiology (n; %) & CathLab Implantations / Austria

35 Volker Mühlberger, Quality Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH -2013

36 Volker Mühlberger, Quality


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