Österr.kardiol.gesellschaft 1990–2009 arbeitsgruppe intervent. kardiologie monitor (auditor)...
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Österr.Kardiol.Gesellschaft 1990–2009 Österr.Kardiol.Gesellschaft 1990–2009 Arbeitsgruppe Intervent. KardiologieArbeitsgruppe Intervent. Kardiologie
Monitor (Auditor) Report: 2008/2009
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Contact and References:Contact and References:
http://iik.i-med.ac.at (L.Kaltenbach, KP http://iik.i-med.ac.at (L.Kaltenbach, KP Pfeiffer)Pfeiffer)
www.kardiologie.insel.ch/2164.html (B www.kardiologie.insel.ch/2164.html (B Meier - St Cook – MT Maeder)Meier - St Cook – MT Maeder)
CARDS; EU Heart J. 2005;26: 308-313 CARDS; EU Heart J. 2005;26: 308-313 (ESC-WG 10; F.Weidinger)(ESC-WG 10; F.Weidinger)
www.herzbericht.de (E.Bruckenberger)www.herzbericht.de (E.Bruckenberger)
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Volker Mühlberger, QualityVolker Mühlberger, Quality
AUSTRIAN ANGIOGRAPHY AUSTRIAN ANGIOGRAPHY +/- PCI- CENTERS 2009 +/- PCI- CENTERS 2009
4 Pediatric 4 Pediatric 37 Adult 37 Adult ((11 11 in Vienna)in Vienna)
Rooms (n=49)Rooms (n=49) http://iik.i-med.ac.at 2008: Waidhofen,Braunau, SMZ-Süd2008: Waidhofen,Braunau, SMZ-Süd
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Wunschliste 2010Wunschliste 2010
AKHAKH Lainz/HietzingLainz/Hietzing HanuschHanusch JosefstadtJosefstadt InnsbruckInnsbruck Wr. NeustadtWr. Neustadt Wiener PrivatklinikWiener Privatklinik
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Volker Mühlberger, QualityVolker Mühlberger, Quality
AUSTRIA 2007/2008AUSTRIA 2007/2008
� Angiography 52.260 51.292Angiography 52.260 51.292
� PTCA=PCI 19.342 19.727PTCA=PCI 19.342 19.727
� -stent-stent 90% 90% 88% 88%
� - - DES- - DES 64% 64% 67% 67%
� OP-CAD(Unger) 3.316 OP-CAD(Unger) 3.316 � OP-CAD (Bruckenberger)OP-CAD (Bruckenberger) 4.281 4.281
� OP- valve 2.691 OP- valve 2.691 � OP- valve (Bruckenberger)OP- valve (Bruckenberger) 2.1062.106
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Coronary Angiography Frequency Coronary Angiography Frequency per One Million Inhabitants 1992-2008 per One Million Inhabitants 1992-2008
0
2000
4000
6000
8000
10000
12000
1992 1995 1998 2001 2004 2007
AU 8.12/8.3CH 7.4D 82.2/81.9CZ 10.0NO 4.8Mio EW
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Volker Mühlberger, QualityVolker Mühlberger, Quality
NUMBER OF CENTERS WITH HIGH OR NUMBER OF CENTERS WITH HIGH OR LOW CASE LOAD FOR LOW CASE LOAD FOR CACA DURING 2000/08 DURING 2000/08
0
2
4
6
8
10
12
14
16
<400 CA peryear and
center
400-1000 1000-2000 >2000 CA
AU 2000AU 2001AU 2002AU 2003AU 2004CH 2004AU 2005AU 2006CH 2006AU 2007AU 2008
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Volker Mühlberger, QualityVolker Mühlberger, Quality
PCI Frequency per One Million Inhabitants PCI Frequency per One Million Inhabitants ((AUAU//CHCH//D/D/CZCZ//NONO//USAUSA) 1992-2008) 1992-2008
0
500
1000
1500
2000
2500
3000
3500
4000
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
D
CZ
NO
USA
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Volker Mühlberger, QualityVolker Mühlberger, Quality
NUMBER OF CENTERS WITH HIGH OR NUMBER OF CENTERS WITH HIGH OR LOW CASE LOAD FOR LOW CASE LOAD FOR PCIPCI DURING 2000/08 DURING 2000/08
0
5
10
15
20
25
<200 PCI per yearand center
200-400 >400 PCI
AU 2000AU 2001AU 2002AU 2003AU 2004CH 2004AU 2005AU 2006CH 2006AU 2007AU 2008
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Volker Mühlberger, QualityVolker Mühlberger, Quality
PCI Frequency in Austria 2006-2008 PCI Frequency in Austria 2006-2008 according according to acute or non-acute Indicationsto acute or non-acute Indications
14254
5009
19263
13328
6014
19342
13041
6686
19727
02000
40006000
800010000
1200014000
1600018000
20000
2006 2007 2008
NICHT AKUT
AKUT PCI
PCI GESAMT
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Case load per physicianCase load per physicianPCIPCI CACA
0
50
100
150
200
250
1998PC I
1999PC I
2000PC I
2001PC I
2002PC I
2003PC I
2004PC I
2005PC I
2006PC I
2007PC I
2008PC I
0 1998C A
1999C A
2000C A
2001C A
2002C A
2003C A
2004C A
2005C A
2006C A
2007C A
2008C A
AU
CH
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Volker Mühlberger, QualityVolker Mühlberger, Quality
% PCI/ CA 1992-2008 % PCI/ CA 1992-2008 ((AUAU//CHCH//DD))
0
510
1520
2530
3540
4550
1992 1994 1996 1998 2000 2002 2004 2006 2008
A
CH
D
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Volker Mühlberger, QualityVolker Mühlberger, Quality
PCI during Diagnostic Angio PCI during Diagnostic Angio (%)(%) in in AustriaAustria//SwitzerlandSwitzerland//EUEU
0
10
20
30
40
50
60
70
80
90
100
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
EU
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Volker Mühlberger, QualityVolker Mühlberger, Quality
%-multivessel PCI %-multivessel PCI AustriaAustria//EU/EU/CHCH
0
2
4
6
8
10
12
14
16
18
20
2002 2003 2004 2005 2006 2007 2008
AUSTRIAEUCH
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Ratio of (CABG-OP+PCI) Ratio of (CABG-OP+PCI) per Angiography in per Angiography in AUAU CHCH DD
0
10
20
30
40
50
60
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
D
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Volker Mühlberger, QualityVolker Mühlberger, Quality
PCI Hospital-Mortality (%) in PCI Hospital-Mortality (%) in AustriaAustria, , SwitzerlandSwitzerland,,GermanyGermany, , EUEU
0
0,5
1
1,5
2
2,5
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
D
EU
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Elective (non-acute)Elective (non-acute) and and OverallOverall – – PCI-Hospital-Mortality (%) in AustriaPCI-Hospital-Mortality (%) in Austria
0
0,2
0,4
0,6
0,8
1
1,2
1992 1994 1996 1998 2000 2002 2004 2006 2008
Overall
Elective
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Non-acuteNon-acute and and Overall Overall - - PCI PCI Hospital-Mortality (%) in AustriaHospital-Mortality (%) in Austria
0
0,2
0,4
0,6
0,8
1
1,2
1992 1994 1996 1998 2000 2002 2004 2006 2008
Non-acute
Rest%
Overall
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Ratio of STENTING per PCI Ratio of STENTING per PCI (%) in (%) in AUAU//CHCH//D/D/CZCZ
0
10
20
30
40
50
60
70
80
90
100
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
D
CZ
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Ratio of emergency CABG due to Ratio of emergency CABG due to PCI (%): PCI (%): AustriaAustria//SwitzerlandSwitzerland//EUEU
0
0,2
0,4
0,6
0,8
1
1,2
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
EU
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Volker Mühlberger, QualityVolker Mühlberger, Quality
EMERGENCY CABG AFTEREMERGENCY CABG AFTER PCI (%): MORTALITY in AustriaPCI (%): MORTALITY in Austria
3,38,3
18,2
28,6
8,3
15,4 16
25
32
12 10,5
18,2
13,6
23,1
36,4
46,7
0
5
10
15
20
25
30
35
40
45
50
1992 1994 1996 1998 2000 2002 2004 2006 2008
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Infarction as Complication (%) after Infarction as Complication (%) after PCI in PCI in AustriaAustria, , CHCH, , DD, , EUEU
0
0,2
0,4
0,6
0,8
1
1,2
1,4
1,6
1,8
2
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
D
EU
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Volker Mühlberger, QualityVolker Mühlberger, Quality
STEMI PCI / acute PCI % STEMI PCI / acute PCI % Austria 2007 - all Centers Austria 2007 - all Centers
0,0
20,0
40,0
60,0
80,0
100,0
120,0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
28 meldende Zentren (NR 12=Mittelwert)
PC
I STE
MI/P
CI a
kut %
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Volker Mühlberger, QualityVolker Mühlberger, Quality
STEMI PCISTEMI PCI / / acute PCIacute PCI/ / STEMI %STEMI % Austria 2007 / 2008 (n=) Austria 2007 / 2008 (n=)
0
1000
2000
3000
4000
5000
6000
7000
2007 2008
STEMI"acute"STEMI % x10
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Volker Mühlberger, QualityVolker Mühlberger, Quality
acuteacute PCI (% of total PCI) in PCI (% of total PCI) in Austria,Austria, Switzerland,Switzerland, EUEU
0
5
10
15
20
25
30
35
1992 1994 1996 1998 2000 2002 2004 2006 2008
AU
CH
EU
CZ
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Volker Mühlberger, QualityVolker Mühlberger, Quality
PCI (n) for acute & subacute PCI (n) for acute & subacute Myocardial Infarction in AustriaMyocardial Infarction in Austria
0
1000
2000
3000
4000
5000
6000
7000
1998 2000 2002 2004 2006 2008
PCI MIwithshock
PCI MIwithoutshock
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Volker Mühlberger, QualityVolker Mühlberger, Quality
MORTALITY (%) after PCI for acute & MORTALITY (%) after PCI for acute & subacute Myocardial Infarction in Austriasubacute Myocardial Infarction in Austria
27
2,5
31
2,8
35
2,6
30
2,1
17
2
17,2
2,2
21,8
1,6
22,8
1,5
25,3
1,2
32,4
1,2
29,17
1,01
0
5
10
15
20
25
30
35
1998 2000 2002 2004 2006 2008
PCI forMI+Shock
PCI for MIwithoutShock
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Volker Mühlberger, QualityVolker Mühlberger, Quality
% GP IIb/IIIa for PCI (% GP IIb/IIIa for PCI (AUAU//CHCH) ) % ThrombinInhibitor (TI in AU)% ThrombinInhibitor (TI in AU)
0
5
10
15
20
25
1996 1998 2000 2002 2004 2006 2008
AU
CH
AU-TI
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Volker Mühlberger, QualityVolker Mühlberger, Quality
DRUG ELUTING STENTSDRUG ELUTING STENTS (DES) in (DES) in AU,AU,CH,CH,D,D,EUEU (% of stents) (% of stents)
0
10
20
30
40
50
60
70
80
90
2001 2002 2003 2004 2005 2006 2007 2008
Austria
CH
D
EU
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Volker Mühlberger, QualityVolker Mühlberger, Quality
DRUG ELUTING STENTS (DES) DRUG ELUTING STENTS (DES) in Austria (n)in Austria (n)
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
2002 2003 2004 2005 2006 2007 2008
Paclitaxel
Sirolimus
Zotarolimus
others/n.a.
Tacrolimus
Everolimus
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Volker Mühlberger, QualityVolker Mühlberger, Quality
DRUG ELUTING STENTS DRUG ELUTING STENTS (DES)(DES) versus versus REDOREDO in Austria (%) in Austria (%)
0
10
20
30
40
50
60
70
2002 2003 2004 2005 2006 2007 2008
DES % REDO % (reporting Centers only)
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Volker Mühlberger, QualityVolker Mühlberger, Quality
STENT REDO STENT REDO (Thrombus) (Thrombus) versus versus (chronic (chronic Restenosis) Restenosis) in Austria (n=) 2007/2008 in Austria (n=) 2007/2008
0
100
200
300400
500
600700
800
9001000
2007 2008
Thrombus
Restenose
Thrombus % x10
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Puncture site closing devices Puncture site closing devices (% of PCI in (% of PCI in AUAU//CHCH))
0
10
20
30
40
50
60
70
80
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
AU
CH
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Brachial and Radial Approach Brachial and Radial Approach (% of PCI in (% of PCI in AUAU//CHCH))
0
1
2
3
4
5
6
7
8
9
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
AUCH
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Brachial/Radial Approach (n=) Brachial/Radial Approach (n=) 37 Centers Austria 2008 37 Centers Austria 2008
0
100
200
300
400
500
600
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37
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Volker Mühlberger, QualityVolker Mühlberger, Quality
OLD and NEW DEVICES, AustriaOLD and NEW DEVICES, Austria
LASER
IVUS
STENT
0
5000
10000
15000
20000 LASER
DCA
ROTABL
IVUS
IIb/IIIa
DES
STENT
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Transcatheter aortic valve implantationTranscatheter aortic valve implantation (TAVI; n=) in Austria 2007-2008(TAVI; n=) in Austria 2007-2008
0
20
40
60
80
100
120
140
160
2005 2006 2007 2008
Balloon only
Transapical Valve
Transfemoral Valve
TAVI
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Ablation / Electrophysiology and Device Ablation / Electrophysiology and Device Implantation in CathLabs (Austria)Implantation in CathLabs (Austria)
0
500
1000
1500
2000
2500
3000
2003 2004 2005 2006 2007 2008
Ablation Diagnostics
A/D % x10 Implantation
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Volker Mühlberger, QualityVolker Mühlberger, Quality
NEW DEVICES NEW DEVICES Austria 2002 – 2008 („winner“)Austria 2002 – 2008 („winner“)
Gerinnselentferner 148/173/213/380/580/Gerinnselentferner 148/173/213/380/580/950/1065950/1065 NOGA MappingNOGA Mapping 16/26/26/21/ 16/26/26/21/65/6865/68 Alkoholablation = PTSMA 4/4/6/15/11/Alkoholablation = PTSMA 4/4/6/15/11/16/1316/13 Defektverschlüsse 162/243/269/Defektverschlüsse 162/243/269/332332/214/202/296/214/202/296 Thrombininjektion bei lokaler Gefäßkomplikation -/ Thrombininjektion bei lokaler Gefäßkomplikation -/
88/143/88/143/115115/77/96/77/96 Optical coherence tomography (OTC) -/-/-/-/ -/-/-/-/ 60/11360/113 perkutaner Aortenklappenersatz –/-/-/-/perkutaner Aortenklappenersatz –/-/-/-/30/14430/144
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Volker Mühlberger, QualityVolker Mühlberger, Quality
NEW DEVICES NEW DEVICES Austria 2002 – 2008 („loser“)Austria 2002 – 2008 („loser“)
Brachytherapie 163/101/28/3/0/0/0Brachytherapie 163/101/28/3/0/0/0 Ultraschalltherapie 1/0/0/0/0/0/0Ultraschalltherapie 1/0/0/0/0/0/0 Transmyokardialer Laser 16/0/13/0/0/0/0Transmyokardialer Laser 16/0/13/0/0/0/0 Spinal Cord Stimulation 4/0/0/0/0/0/0Spinal Cord Stimulation 4/0/0/0/0/0/0 Herzohrverschluss linksHerzohrverschluss links 7/4/13/0/0/0 7/4/13/0/0/0 Stammzelltherapie -Katheter 21/16/23/12/Stammzelltherapie -Katheter 21/16/23/12/40/340/3
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Volker Mühlberger, QualityVolker Mühlberger, Quality
„„NEW DEVICES“ III NEW DEVICES“ III Austria 2003 – 2008Austria 2003 – 2008
PCI wg. instent-Restenose PCI wg. instent-Restenose 737/921/905/1359/1003/1324737/921/905/1359/1003/1324
- wegen akuter Stentthrombose -/-/-/-/ 85/130- wegen akuter Stentthrombose -/-/-/-/ 85/130 - wegen STEMI -/-/-/-/ 3342/3677 - wegen STEMI -/-/-/-/ 3342/3677 DES 620/2938/6430/11209/DES 620/2938/6430/11209/1203712037/ /
11217/1157911217/11579 stereotaktische Drahtnavigationstereotaktische Drahtnavigation -/-/-/-/-/33 AKH-/-/-/-/-/33 AKH