Peter F Ludman BCIS National Audit Lead
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1 Peter F Ludman BCIS National Audit Lead On behalf of British Cardiovascular Intervention Society Basingstoke October 2015
2 Contents Structure Angio and PCI centres and maps Total angio and PCI numbers No of PCIs per centre and per angio PCI pmp and by country and v CABG Centre PCI volumes PCI operators, by centre, by PPCI On call rotas for PPCI On site v off site surgical cover Day case activity Primary PCI units NICOR data collection Centre participation Databases used Case ascertainment Data completeness Appropriateness Demographics Indication for PCI / Clinical syndrome PPCI activity (by unit, pmp, by vessel) PCI for out of hospital arrest PCI territories / vessels / lesions Stents (BMS and DES) Adjunctive pharmacotherapy LV support and shock Primary PCI for > 80 yrs Extraction / Rota / IVUS / OCT / FFR / Laser etc. Arterial access Process of care Delays to treatment NSTEMI (direct v IHT) Primary PCI DTB / CTB IHT versus Direct admission Length of stay Outcome MACCE Peri-procedural complications and by access Tracked 30 day mortality Outcome by syndrome Outcome by lesion subset Adult non coronary intervention Septal ablation for HOCM Mitral valvuloplasty Mitraclip /PFO / ASD closure / LAA occlusion Para-prosthetic leak closure Renal Denervation Percutaneous Pulmonary valve TAVI Activity by centre Demographics Valve types Delivery approaches by valve type Pacing Complications NICOR IT developments Research Output Public Reports and risk adjusted outcomes Conclusions and summary Appendix: PCI Centre NICOR / CCAD Centre codes
3 Back to contents TAVI
4 Transcatheter Valves Case ascertainment
5 Data extract Total = 7, Number of TAVI Procedures Performed
6 Total Procedures by unit and year
7
8 Total Procedures by unit and year
9 Rate pmp by Country
10 Rate pmp by LAT
11 UK Survey June 2015 What is the number of patients on your waiting list now for elective TAVI at your centre? Mean 25 Median 19
12 UK Survey June 2015 What is your current average wait from referral to elective TAVI procedure in your centre. (days) Referral is the time when MDT decides that the patient should be offered TAVI? Mean 87 Median
13 UK Survey June 2015 What number of cases have your commissioners agreed to fund this year? : No formal agreement 1: 25 pmp 1: No limit
14 Female (%)
15 Mean Age (years)
16
17
18 Mean Logistic EuroSCORE
19 Diabetic (%)
20 Renal failure pre TAVI (%) Definition: creatinine > 200, and/or on dialysis
21 Previous cardiac surgery (%)
22 Of patients treated by TAVI: Prior Aortic balloon Valvuloplasty
23 LVEF pre TAVI
24 Valve Manufacturer
25 Delivery Approach
26 Pacing - All Due to TAVI = Pre TAVI in preparation and post TAVI as required
27 Pacing Edwards Sapien Due to TAVI = Pre TAVI in preparation and post TAVI as required
28 Pacing Medtronic CoreValve Due to TAVI = Pre TAVI in preparation and post TAVI as required
29 Complications: CVA up to Dx (%)
30 Conversion to Surgery in Lab (n) Old Dataset (V3) Emergency surgery New Dataset (V4) Conversion to full Sternotomy Principle reason: 2014 Haemorrhage (14) Valve surgery (10) other (2)
31 Emergency Valve-in-Valve in lab (n)
32 Device Embolisation in lab (n)
33 New Haemofiltration or dialysis post procedure (%)
34 Mortality (Tracked at 30 days as %)
35 to treat other valves Mitral 3 2 Number of procedures NCR BHL CHN ERI MRI QEB STH Number of centres: 7
36 to treat other valves Tricuspid 3 2 Number of procedures RSC MOR QEB Number of centres: 3
37 UK PCI Centre Codes 2014 Back to contents
38 Back to contents UK PCI Centre Codes 2014
39 UK PCI Centre Codes 2014 Back to contents
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