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Volker Mühlberger, QualityVolker Mühlberger, Quality
Österr.Kardiol.Gesellschaft 1990 Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. KardiologieArbeitsgruppe Intervent. Kardiologie
Monitor (Auditor) Report: 2007/2008
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Volker Mühlberger, QualityVolker Mühlberger, Quality
European Society of CardiologyEuropean Society of Cardiology WG 10 – EAPCI (2006)WG 10 – EAPCI (2006)
AUSTRIA 1990 -2008AUSTRIA 1990 -2008
BERNBERNESCESC
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Volker Mühlberger, QualityVolker Mühlberger, Quality
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 2007 +/- PCI- CENTERS 2007
4 Pediatric 4 Pediatric 34 Adult 34 Adult ((10 10 in Vienna)in Vienna)
Rooms (n=46)Rooms (n=46) http://iik.i-med.ac.athttp://iik.i-med.ac.at 2008: Waidhofen,Braunau, SMZ-Süd2008: Waidhofen,Braunau, SMZ-Süd
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Volker Mühlberger, QualityVolker Mühlberger, Quality
103 parameters were reported by all 103 parameters were reported by all 31/30/32 cathlabs 2003/2004/200531/30/32 cathlabs 2003/2004/2005
0
20
40
60
80
100
120
99,0
396
,12
93,2
90,2
987
,38
84,4
781
,55
78,6
4
75,7
372
,82
69,9
66,9
964
,08
61,1
758
,25
55,3
452
,43
49,5
146
,643
,69
40,7
837
,86
34,9
532
,04
29,1
3
26,2
123
,320
,39
17,4
814
,56
11,6
58,
745,
832,
91
% ausgefüllte Zeilen
% C
ath
lab
s
200320042005
![Page 6: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/6.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
AUSTRIA 2006/2007AUSTRIA 2006/2007
� Angiography 50.667 52.260Angiography 50.667 52.260
� PTCA=PCI 19.263 PTCA=PCI 19.263 19.342 19.342
� -stent-stent 90% 90% 90% 90%
� - - DES- - DES 69% 69% 64% 64%
� OP-CAD(Unger) 2.801 3.316OP-CAD(Unger) 2.801 3.316� OP-CAD (Bruckenberger)OP-CAD (Bruckenberger) 4.194 4.194
� OP- valve 2.700 2.691OP- valve 2.700 2.691� OP- valve (Bruckenberger)OP- valve (Bruckenberger) 2.127 2.127
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Coronary Angiography Frequency Coronary Angiography Frequency per One Million Inhabitants per One Million Inhabitants
0
2000
4000
6000
8000
10000
12000
19
92
19
94
19
96
19
98
20
00
20
02
20
04
20
06
AU 8.12/8.3CH 7.4D 82.4CZ 10.0NO 4.8
![Page 8: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/8.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
PCI Frequency per One Million PCI Frequency per One Million Inhabitants (Inhabitants (AUAU//CHCH//D/D/CZCZ/NO/NO))
0
500
1000
1500
2000
2500
3000
3500
4000
19
92
19
94
19
96
19
98
20
00
20
02
20
04
20
06
AU
CH
D
CZ
NO
![Page 9: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/9.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
% PCI/ CA 1992-2007 % PCI/ CA 1992-2007 ((AUAU//CHCH//DD))
0
5
10
15
20
25
30
35
40
45
50
ACHD
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Volker Mühlberger, QualityVolker Mühlberger, Quality
n= 32 centers - Austria 2005; according to incremental PCI/CA % quota (n=)
0
500
1000
1500
2000
2500
3000
3500
4000
4500
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
Zentrumsnummern geordnet nach Größenverhältnis PCI/CA aufsteigend
Ab
so
lute
An
za
hl
Anzahl KAG
GESAMT PCI
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Volker Mühlberger, QualityVolker Mühlberger, Quality
n= 32 centers - according to incremental PCI/CA % quota in Austria 2005; (%=)
0
10
20
30
40
50
60
70
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
Zentrumsnummern geordnet nach Größenverhältnis PCI/CA aufsteigend
PC
I/C
A i
n P
roze
nt
(%)
PCI/CA 2001
PCI/CA 2002
PCI/CA 2003
PCI/CA 2004
PCI/CA 2005
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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
AU
CH
EU
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Volker Mühlberger, QualityVolker Mühlberger, Quality
%-multivessel PCI %-multivessel PCI AustriaAustria//EUEU
0
2
4
6
8
10
12
14
16
18
20
2002 2003 2004 2005 2006 2007
AUSTRIAEU
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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
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
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
Overall
Elective
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Non-acute Non-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
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//DD
2,4 4,38,9
27
47
58
6874 76
81 84 87 8791 90 90
0
10
20
30
40
50
60
70
80
90
100
1992 1994 1996 1998 2000 2002 2004 2006
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 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
AU
CH
EU
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Volker Mühlberger, QualityVolker Mühlberger, Quality
EMERGENCY CABG AFTEREMERGENCY CABG AFTER PCI (%): MORTALITY in AustriaPCI (%): MORTALITY in Austria
3,3
8,3
18,2
28,6
8,3
15,4 16
25
32
1210,5
18,2
13,6
23,1
36,4
0
5
10
15
20
25
30
35
40
1992 1994 1996 1998 2000 2002 2004 2006
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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 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
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
acute/nonacute PCI % acute/nonacute PCI % Austria 2004 - all Centers Austria 2004 - all Centers
0
50
100
1. Qrtl. 2. Qrtl. 3. Qrtl. 4. Qrtl.
Ost
West
Nord
0
5
10
15
20
25
30
35
40
MIT 24h Dienst (n=15) OHNE 24h Dienst (n=14)
% P
PC
I v
on
PC
I
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Mortality with/without „backup“ Mortality with/without „backup“ Austria 2006Austria 2006
0
5
10
15
20
25
30
35
40
45
50
back up unter einem Dach kein backup
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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
1720
2629
0
5
10
15
20
25
30
35
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
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
1998 2000 2002 2004 2006
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
0
5
10
15
20
25
30
35
1998 2000 2002 2004 2006
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))
0
5
10
15
20
25
1996 1998 2000 2002 2004 2006
AU
CH
![Page 29: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/29.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
DRUG ELUTING STENTS (%of stents) DRUG ELUTING STENTS (%of stents)
(DES) in (DES) in 34 Austrian Centers 34 Austrian Centers 2006/20072006/2007
0
20
40
60
80
100
120
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
n= 34 Zentren (Mittelwert = Nr 18)
DE
S/s
ten
t%
Jahr 2007
Jahr 2006
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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
Austria
CH
D
EU
![Page 31: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/31.jpg)
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
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
DES % REDO % (reporting Centers only)
![Page 33: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/33.jpg)
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
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
AU
CH
![Page 34: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/34.jpg)
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
AUCH
![Page 35: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/35.jpg)
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
![Page 36: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/36.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
NEW DEVICES NEW DEVICES Austria 2002 – 2007 („winner“)Austria 2002 – 2007 („winner“)
Gerinnselentferner 148/173/213/380/580/Gerinnselentferner 148/173/213/380/580/950950 Stammzelltherapie m.Katheter 21/16/23/12/Stammzelltherapie m.Katheter 21/16/23/12/4040 NOGA MappingNOGA Mapping 16/26/26/21/ 16/26/26/21/6565 Alkoholablation = PTSMA 4/4/6/15/11/Alkoholablation = PTSMA 4/4/6/15/11/1616 Defektverschlüsse 162/243/269/Defektverschlüsse 162/243/269/332332/214/202/214/202 Thrombininjektion bei lokaler Gefäßkomplikation Thrombininjektion bei lokaler Gefäßkomplikation
-/ 88/143/ -/ 88/143/115115/77/77 Optical coherence tomography (OTC) -/-/-/-/ -/-/-/-/ 6060
![Page 37: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/37.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
NEW DEVICES NEW DEVICES Austria 2002 – 2007 („loser“)Austria 2002 – 2007 („loser“) Brachytherapie 163/101/28/3/0/0Brachytherapie 163/101/28/3/0/0 Ultraschalltherapie 1/0/0/0/0/0Ultraschalltherapie 1/0/0/0/0/0 Transmyokardialer Laser 16/0/13/0/0/0Transmyokardialer Laser 16/0/13/0/0/0 Spinal Cord Stimulation 4/0/0/0/0/0Spinal Cord Stimulation 4/0/0/0/0/0 Herzohrverschluss linksHerzohrverschluss links 7/4/13/0/0 7/4/13/0/0
![Page 38: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/38.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
„„NEW DEVICES“ III NEW DEVICES“ III Austria 2003 - 2007Austria 2003 - 2007
PCI wg. instent-Restenose PCI wg. instent-Restenose 737/921/905/1359/1003737/921/905/1359/1003
- wegen akuter Stentthrombose -/-/-/-/ 85- wegen akuter Stentthrombose -/-/-/-/ 85 - wegen STEMI -/-/-/-/ 3342 - wegen STEMI -/-/-/-/ 3342 DES 620/2938/6430/11209/DES 620/2938/6430/11209/1203712037/ 11217/ 11217 stereotaktische Drahtnavigationstereotaktische Drahtnavigation -/-/-/-/ ? AKH-/-/-/-/ ? AKH perkutaner Aortenklappenersatzperkutaner Aortenklappenersatz –/-/-/-/ –/-/-/-/3030
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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
0 1998C A
1999C A
2000C A
2001C A
2002C A
2003C A
2004C A
2005C A
2006C A
2007C A
AU
CH
![Page 40: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/40.jpg)
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 2000/06 DURING 2000/06
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 2007
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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 2000/06 DURING 2000/06
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 2007
![Page 42: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/42.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
CASE LOAD FOR CASE LOAD FOR PCI PCI // CA CA DURING 2007 DURING 2007 ACCORDING TO REGIONS OF AUSTRIAACCORDING TO REGIONS OF AUSTRIA
0
2000
4000
6000
8000
10000
12000
14000
Bundesländer / Äqivalente
CA
od
er
PC
I /
Mio
WB
KAG/MioWB
PCI/MioWB
![Page 43: Österr.Kardiol.Gesellschaft 1990 Arbeitsgruppe Intervent. Kardiologie](https://reader035.vdocuments.pub/reader035/viewer/2022062722/56813a64550346895da25db7/html5/thumbnails/43.jpg)
Volker Mühlberger, QualityVolker Mühlberger, Quality
CASE LOAD FOR CASE LOAD FOR PCI PCI // CA CA DURING 2007 DURING 2007 ACCORDING TO REGIONS OF AUSTRIAACCORDING TO REGIONS OF AUSTRIA
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
TKBVST OÖSWNÖ
CA
od
er
PC
I/M
io W
B b
zw P
CI/
CA
%x
10
0
CA/MioWB
PCI/MioWB
PCI/CA%x100
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Volker Mühlberger, QualityVolker Mühlberger, Quality
Diskussion in Linz amDiskussion in Linz am 28.11.2008 28.11.2008
warum CA + PCI rückläufig?warum CA + PCI rückläufig? warum Unterschiede PCI/CA ?warum Unterschiede PCI/CA ? PCI/CA als Qualitätskriterium?PCI/CA als Qualitätskriterium? REDO „trotz“ DESREDO „trotz“ DES ANTWORT: kommen wir in AUT nicht an die ANTWORT: kommen wir in AUT nicht an die
„culprit lesions“ heran? Patient? Zuweiser? „culprit lesions“ heran? Patient? Zuweiser? Finanz? Wir?Finanz? Wir?