2. ICCK INTERVENTION REGISTRY DATA 1/1/2013 – 31/12/2013 Collection (96%)

3. Number of centers performing intervention 59 77

4.  North Zone - 20  Central Zone - 34  South Zone - 23

5. SOUTH ZONE SOUTH ZONE MEDICAL COLLEGE, TRIVANDRUM SCTIMST, TRIVANDRUM ANATHAPURI HOSPITAL, TRIVANDRUM MEDITRINA, TRIVANDRUM KIMS HOSPITAL, TRIVANDRUM SUT HOSPITAL, TRIVANDRUM SUT ROYAL HOSPITAL, TRIVANDRUM NIMS MEDICITY, TRIVANDRUM DR SM CSI MEDICAL COLLEGE, TRIVANDRUM PRS HOSPITAL, TRIVANDRUM GOKULAM MEDICAL COLLEGE, TRIVANDRUM SK HOSPITAL, TRIVANDRUM PNM HOSPITAL, KATTAKADA SANKERS HOSPITAL, KOLLAM TRAVANCORE MEDICAL COLLEGE, KOLLAM BISHOP BENZIGOR HOSPITAL, KOLLAM HOLY CROSS HOSPITAL, KOTTIYAM PADMAVATHY HOSPITAL, KOTTARAKKARA VALIYATH INSTITUTE, KARUNAGAPALLY LOTUS HOSPITAL,KOTTARAKKARA VSM HOSPITAL, MAVELIKARA MEDICAL COLLEGE, ALAPPUZHA KVM HOSPITAL, CHERTHALA

6. CENTRAL ZONE PUSHPAGIRI MEDICAL COLLEGE, THIRUVALLA TMM HEART INSTITUTE, THIRUVALLA MUTHOOT MEDICAL CENTER, KOZHENCHERRY ST. GREGORIOS HOSPITAL, PARUMALLA MEDICAL COLLEGE, KOTTAYAM BHARATH HOSPITAL, KOTTAYAM CARITAS, KOTTAYAM MARIYAN MEDICAL CENTER, PALA MEDITRINA, CHETHIPUZHA AMRUTHA MEDICAL COLLEGE, KOCHI MEDICAL TRUST HOSPITAL, KOCHI LISIE HOSPITAL, KOCHI LAKESHORE HOSPITAL, KOCHI SUN RISE HOSPITAL, KOCHI PVS HOSPITAL, KOCHI MOSC MEDICAL COLLEGE, KOLENCHERRY ST. MARY’S, THODUPUZHA LF HOSPITAL, ANKAMALY LOURDES HOSPITAL, KOCHI ASTER MEDICITY, KOCHI SAMARITAN HOSPITAL, ALUVA St. JAMES, CHALAKUDY WESTFORT HI TECH HOSPITAL, THRISSUR SUN MEDICAL CENTER, THRISSUR JUBILEE MEDICAL COLLEGE, THRISSUR AMALA MEDICAL COLLEGE, THRISSUR ASWINI HOSPITAL, THRISSUR DAYA HOSPITAL, THRISSUR MOTHER HOSPITAL, THRISSUR RAJAH HOSPITAL, CHAVAKKAD LAKSHMI NURSING HOME, PALAKKAD THANKAM HOSPITAL, PALAKKAD PK DAS, VANIYAMKULAM VALLUVANAD HOSPITAL,OTTAPALAM

7. NORTH ZONE EMS MEMORIAL CO OP HOSPITAL, PERINTHALMANNA MAULANA HOSPITAL, PERINTHALMANNA AL SHIFA HOSPITAL, PERINTHALMANNA MES MEDICAL COLLEGE, PERINTHALMANNA AL MAS, KOTTAKKAL MIMS HEART, KOTTAKKAL FATHIMA HOSPITAL, CALICUT MIMS, CALICUT PVS HOSPITAL, CALICUT MEDICAL COLLEGE, CALICUT NIRMALA HOSPITAL, CALICUT IQRAA HOSPITAL, CALICUT BABY MEMORIAL HOSPITAL, CALICUT KMCT MEDICAL COLLEGE,CALICUT METRO CARDIAC CENTRE, CALICUT SAHAKARANA HRUDAYALAYA, KANNUR MEDICAL COLLEGE, KANNUR KOYILI HOSPITAL,KANNUR DM INSTITUTE OF MEDICAL SCIENCES, WAYANAD METRO LEO HOSPITAL, WAYANAD

8. PCI – Kerala - Growth

9. PCI - Male- Female ratio

10. Femoral Vs Radial 2011 2012

11. PCI – Age wise data

12. PCI Centres One centre - 2340 maximum. (North)  2000 – North zone South zone  1500 - 1 north zone 1 central zone  1000 – 2 north zone 2 central zone 2 South zone

13. Single Vs Multi vessel disease 20112012 2013

14. 2b3a -Molecule

15. Complications of PCI Mortality – 47 (0.7%), 61 (0.8%) Subacute stent thrombosis – 33

16. Primary PTCA

17. Stent use in PAMI

18. PAMI 49% Thrombus Aspiration devices 2b3a Use

19. Non-Coronary Intervention data Balloon Mitral Valvotomy Total Number – 783  8 centres – 6 centres Inonue, 4 centres Life Tech, All other centres – Accura  MR – 9%

20. Other Valve Interventions Balloon aortic valvotomy 50 Cases Balloon pulmonary valvotomy 152 cases Balloon Tricuspid valvotomy 1 case

21. Peripheral Vascular Interventions Iliac – 253 Femoro-popliteal – 358 Carotid– 107 (all reported distal protection) Renal - 153

22. Congenital Heart Disease ASD Device Closure – 806 N = 221 done in one center Majority – Chinese devices. VSD – 29 Cases PDA – 336 Device, 47 coils

23. Conclusions Number of centers doing Interventions increasing steadily. 54% increase in PPCI. Use of DES is high. 80% Primary PCI – DES Preferred. Radial route is increased. Growing number of structural interventions being performed.

24. Thanks to … All centers for sending data. Dr. S.M. Ashraf Secretary ICCK