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Titolo:
Second and Third Annual Report of the German Society for Cardiac Angiography and Interventions in Private Practice (BNK) regarding quality assurance
Autore:
Silber, S; Levenson, B; Schrader, R; Kaltenbach, M;
Indirizzi:
Klin Dr Muller, Kardiol Gemeinschaftspraxis, Herzkatheterlab, D-81379 Munich, Germany Klin Dr Muller Munich Germany D-81379 theterlab, D-81379 Munich, Germany Kardiol Gemeinschaftspraxis, Berlin, Germany Kardiol Gemeinschaftspraxis Berlin Germany haftspraxis, Berlin, Germany Cardioangiol Centrum Bethanien, Frankfurt, Germany Cardioangiol Centrum Bethanien Frankfurt Germany en, Frankfurt, Germany
Titolo Testata:
HERZ
fascicolo: 2, volume: 25, anno: 2000,
pagine: 143 - 150
SICI:
0340-9937(200003)25:2<143:SATARO>2.0.ZU;2-3
Fonte:
ISI
Lingua:
GER
Soggetto:
PERCUTANEOUS CORONARY INTERVENTIONS; ACUTE MYOCARDIAL-INFARCTION; HEALTH-CARE; TASK-FORCE; PRACTICE GUIDELINES; EUROPEAN-SOCIETY; OPERATOR VOLUME; EXPERT PANEL; CARDIOLOGY; OUTCOMES;
Keywords:
quality assurance; coronary angiography; PTCA; private practice;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
65
Recensione:
Indirizzi per estratti:
Indirizzo: Silber, S Klin Dr Muller, Kardiol Gemeinschaftspraxis, Herzkatheterlab, Isarkanal 36, D-81379 Munich, Germany Klin Dr Muller Isarkanal 36 Munich Germany D-81379 ich, Germany
Citazione:
S. Silber et al., "Second and Third Annual Report of the German Society for Cardiac Angiography and Interventions in Private Practice (BNK) regarding quality assurance", HERZ, 25(2), 2000, pp. 143-150

Abstract

Since 1995, the German Society for Cardiac Angiography and Interventions in Private Practice (BNK) has been intensely involved in quality assurance; since 1996, it has registered relevant data for diagnostic left heart catheterization (DIAG) and coronary interventions (PTCA). The following data arebased on a total of 72,777 cardiac catheters, of which 54,513 were DIAG and 18,264 were PTCA (DIAG in 1996: 10,316; in 1997: 15,692 and in 1998: 28,505. PTCA in 1996: 2,597; in 1997: 5,600 and in 1998: 10,067). The mean patient age was 61.9 years for males and 65.3 years for females (31%). DIAG wasperformed on an out-patient basis in 60% of the cases. The proportion of self-referrals is circa one-third and has not increased over time. A s/p PTCA was present in 21% of the DIAG patients; those after coronary bypass surgery showed a steadily increasing trend towards a follow-up DIAG (8% of the patients). There was a distinctive decrease in the use of contrast medium from an average of 164 ml (1996) to 138 ml (1998). The symptoms leading to DIAG did not substantially change in the years from 1996 to 1998; the angiographic range of the coronary disease and the degree of an impaired myocardial function have remained virtually unchanged. The treatment recommendations appear to tend towards medical therapy with decreasing indications for PTCA (20%) and open heart surgery (16%). The mean duration of a PTCA procedure decreased from 57 +/- 8 (1996) to 44.6 +/- 25 (1998) minutes. The successrates remained unchanged for coronary stenoses as well as for recanalization of chronic total occlusions. PTCA complications: the incidence of abruptcoronary occlusions was 2% and of emergency bypass surgery 0.4%; mortalitywas 0.1%.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 00:30:49