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AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013. n = 34 locations n = 50 rooms. Monitor (Auditor) Report: 1989 – 2014. www.iik.i-med.ac.at Lalit Kaltenbach, Hanno Ulmer www.ptca.ch Gregor Fahrni, Christoph Kaiser – Basel Bernhard Meier, Micha T. Maeder

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Austria s angiography and pci centres 2013
AUSTRIA´s ANGIOGRAPHY and PCI - CENTRES 2013

  • n = 34 locations

  • n = 50 rooms

Volker Mühlberger, Quality


Monitor auditor report 1989 2014
Monitor (Auditor) Report: 1989 – 2014

  • www.iik.i-med.ac.at

    Lalit Kaltenbach, Hanno Ulmer

  • www.ptca.ch

    Gregor Fahrni, Christoph Kaiser – Basel

    Bernhard Meier,Micha T. Maeder

  • www.herzstiftung.deMartin Vestweber www.herzbericht.de E.Bruckenberger bis 2011

  • „Österreichische Spezialregister“

Volker Mühlberger, Quality


Ancalar versorgungsforschung
ANCALAR („Versorgungsforschung “)

  • to describe practice patterns

  • and trends,

  • to identify outliers

  • and to detect safety signals

    Lauer MS, D´Agostino RBNEJM 2013; 369:1579-81

Volker Mühlberger, Quality


Austria 2012 2013
AUSTRIA 2012 / 2013

  • Angiography 53.064 54.566

  • PCI 20.543 21.698

  • - stent 90% 92%

  • - - DES 85% 85%

  • OP-CAD (Bruckenberger : 2008=4.248) Schistek 2.737

  • OP- valve (Bruckenberger: 2008=2.280) Schistek 2.583

Volker Mühlberger, Quality


Coronary angiography frequency per million inhabitants 1992 2013
Coronary Angiography Frequency per Million Inhabitants 1992-2013

Volker Mühlberger, Quality


Pci ca 1992 2013 au ch d cz
% PCI/ CA 1992 - 2013 (AU/CH/D/CZ)

Volker Mühlberger, Quality


PCI per One Million Inhabitants (AU/CH/D/CZ/SL/USA) 1992-2013

Volker Mühlberger, Quality


Number of tables centers and c enters with 36 stemi pci year
Number of tables, CENTERS and centers with > 36 STEMI - PCI / year

Volker Mühlberger, Quality Silber 2005 / DiMario 2006; ESC


Pci frequency in austria 2006 2013 acute or non acute indications
PCI Frequency in Austria 2006-2013 acute or non-acute Indications

Volker Mühlberger, Quality


Acute pci stemi pci n austria 2007 2013
Acute PCI/ STEMI PCI/ % (n=) Austria 2007 – 2013

Volker Mühlberger, Quality


Acute minus stemi pci of total pci in au ch cz eu
ACUTE minus STEMI PCI (% of total PCI) in AU, CH, CZ,EU

Volker Mühlberger, Quality


Non femoral radial approach of procedure aut 2011 2012 2013
Non- femoral (radial) approach (% of procedure) AUT 2011/2012 /2013

Volker Mühlberger, Quality


Non femoral a pproach of pci in au french or german ch
Non- femoral approach (% of PCI) in AU/ french or german-CH

Volker Mühlberger, Quality


Severe bleeding of reporting only aut 2010 2011 2012 2013
Severe bleeding (% of …reporting only) AUT 2010/ 2011 /2012 /2013

Volker Mühlberger, Quality


Bifurcation pci left main stent austria of pci reporting centers only
Bifurcation PCI, left main stent Austria (% of PCI… reporting centers only )

Volker Mühlberger, Quality


Gp iib iiia for pci au ch dir thrombininhibitor ti au
% GP IIb/IIIa for PCI (AU/CH) % dir.ThrombinInhibitor (TI-AU)

Volker Mühlberger, Quality


Ratio of emergency cabg due to pci austria switzerland eu
Ratio of emergency CABG due to PCI (%): Austria/Switzerland/EU

Volker Mühlberger, Quality


Pci hospital mortality in austria switzerland germany eu
PCI Hospital-Mortality (%) in Austria, Switzerland,Germany, EU

Volker Mühlberger, Quality


Pci mortality of procedure in austria 2011 2012 2013
PCI -Mortality (% of procedure) in Austria 2011 / 2012 / 2013

Volker Mühlberger, Quality


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

Volker Mühlberger, Quality


Intra aortic balloon pump for pci in austria 2005 2013 ch 2012 13
Intra – aortic balloon pump for PCI in Austria 2005 -2013 (CH 2012/13)

Volker Mühlberger, Quality


Drug eluting stents des in au ch d eu cz of stents
DRUG ELUTING stents (DES) in AU,CH,D,EU-CZ (% of stents)

Volker Mühlberger, Quality


Des stent and re stenosis redo reporting centres of stent
DES/stent and re-stenosis REDO reporting Centres (% of stent)

Volker Mühlberger, Quality


Redo for all chronic restenoses vs thrombus reporting centres n
REDO for all chronic restenoses vs.thrombus reporting centres(n/%)

Volker Mühlberger, Quality


Aut 2012 ch
AUT 2012 CH

Volker Mühlberger, Quality


Aut 2013 ch
AUT 2013 CH

Volker Mühlberger, Quality


Aut 2012 ch1
AUT 2012 CH

Volker Mühlberger, Quality


Aut 2013 ch1
AUT 2013 CH

Volker Mühlberger, Quality


Austria vs ch 2002 2013 laa closure
Austria vs. CH 2002– 2013 LAA closure

Volker Mühlberger, Quality


Old and new devices 35 000 a austria 1992 2013
OLD and NEW DEVICES (35.000/a) Austria 1992 -2013

Volker Mühlberger, Quality


Old and new devices 3000 a austria 2002 2013
OLD and NEW DEVICES (<3000/a) Austria 2002-2013

Volker Mühlberger, Quality


Old and new devices 400 a austria 2002 2013
OLD and NEW DEVICES (<400/a) Austria 2002-2013

Volker Mühlberger, Quality


Myocardial biopsies in austria 2006 2013
Myocardial biopsies in Austria 2006 -2013

Volker Mühlberger, Quality


Ablation n electrophysiology n cathlab implantations austria
Ablation (n) / Electrophysiology (n; %) & CathLab Implantations / Austria

Volker Mühlberger, Quality


Transcatheter aortic valve implantation tavi n in au ch 2013
Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH -2013

Volker Mühlberger, Quality


Transcatheter aortic valve implantation tavi n in au ch 20131
Transcatheter aortic valve implantation (TAVI; n = ) in AU, CH -2013

Volker Mühlberger, Quality


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