A Contemporary View of Diagnostic Cardiac Catheterization and Percutaneous Coronary Intervention in the United States

被引：244

作者：

Dehmer, Gregory J. ^{[1
]}

Weaver, Douglas ^{[2
]}

Roe, Matthew T. ^{[3
]}

Milford-Beland, Sarah ^{[4
]}

Fitzgerald, Susan ^{[5
]}

Hermann, Anthony ^{[5
]}

Messenger, John ^{[6
]}

Moussa, Issam ^{[7
]}

Garratt, Kirk ^{[8
]}

Rumsfeld, John ^{[6
]}

Brindis, Ralph G. ^{[9
]}

机构：

[1] Texas A&M Hlth Sci Ctr, Coll Med, Scott & White Healthcare, Div Cardiol, Temple, TX 76508 USA

[2] Henry Ford Hosp, Div Cardiol, Detroit, MI 48202 USA

[3] Duke Univ, Med Ctr, Div Cardiol, Durham, NC USA

[4] Duke Clin Res Inst, Durham, NC USA

[5] Amer Coll Cardiol, Washington, DC USA

[6] Univ Colorado, Div Cardiol, Denver, CO 80202 USA

[7] Mayo Clin, Div Cardiol, Jacksonville, FL 32224 USA

[8] Lenox Hill Hosp, Dept Intervent Cardiol, New York, NY 10021 USA

[9] Univ Calif San Francisco, Dept Med, San Francisco, CA USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2012年 / 60卷 / 20期

关键词：

cardiac catheterization; invasive cardiology; National Cardiovascular Data Registry; percutaneous coronary intervention; CARDIOVASCULAR DATA REGISTRY; AMERICAN-COLLEGE; ANGIOGRAPHY; OUTCOMES;

D O I：

10.1016/j.jacc.2012.08.966

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives This study sought to provide a report to the public of data from the CathPCI Registry of the National Cardiovascular Data Registry. Background The CathPCI Registry collects data from approximately 85% of the cardiac catheterization laboratories in the United States. Methods Data were summarized for 6 consecutive calendar quarters beginning January 1, 2010, and ending June 30, 2011. This report includes 1,110,150 patients undergoing only diagnostic cardiac catheterization and 941,248 undergoing percutaneous coronary intervention (PCI). Results Some notable findings include, for example, that on-site cardiac surgery was not available in 83% of facilities performing fewer than 200 PCIs annually, with these facilities representing 32.6% of the facilities reporting, but performing only 12.4% of the PCIs in this data sample. Patients 65 years of age or older represented 38.7% of those undergoing PCI, with 12.3% being 80 years of age or older. Almost 80% of PCI patients were overweight (body mass index >= 25 kg/m(2)), 80% had dyslipidemia, and 27.6% were current or recent smokers. Among patients undergoing elective PCI, 52% underwent a stress study before the procedure, with stress myocardial perfusion being used most frequently. Calcium scores and coronary computed tomography angiography were used very infrequently (<3%) before diagnostic or PCI procedures. Radial artery access was used in 8.3% of diagnostic and 6.9% of PCI procedures. Primary PCI was performed with a median door-to-balloon time of 64.5 min for nontransfer patients and 121 min for transfer patients. In-hospital risk-adjusted mortality in ST-segment elevation myocardial infarction patients was 5.2% in this sample. Conclusions Data from the CathPCI Registry provide a contemporary view of the current practice of invasive cardiology in the United States. (J Am Coll Cardiol 2012;60:2017-31) (C) 2012 by the American College of Cardiology Foundation

引用

页码：2017 / 2031

页数：15

共 25 条

[11] Public Release of Clinical Outcomes Data -- Online CABG Report Cards. [J].

Ferris, Timothy G. ;

Torchiana, David F. .

NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (17) :1593-1595

[12] Review of the Registry's Fourth Year, Incorporating Lead Data and Pediatric ICD Procedures, and Use as a National Performance Measure [J].

Hammill, Stephen C. ;

Kremers, Mark S. ;

Stevenson, Lynne Warner ;

Heidenreich, Paul A. ;

Lang, Christine M. ;

Curtis, Jeptha P. ;

Wang, Yongfei ;

Berul, Charles I. ;

Kadish, Alan H. ;

Al-Khatib, Sana M. ;

Pina, Ileana L. ;

Walsh, Mary Norine ;

Mirro, Michael J. ;

Lindsay, Bruce D. ;

Reynolds, Matthew R. ;

Pontzer, Kathryn ;

Blum, Laura ;

Masoudi, Frederick ;

Rumsfeld, John ;

Brindis, Ralph G. .

HEART RHYTHM, 2010, 7 (09) :1340-1345

[13]

Kirtane AJ, 2012, NEW ENGL J MED, V367, P476, DOI [10.1056/NEJMoa1110717, 10.1056/NEJMc1206011]

[14] Improvements in Door-to-Balloon Time in the United States, 2005 to 2010 [J].

Krumholz, Harlan M. ;

Herrin, Jeph ;

Miller, Lauren E. ;

Drye, Elizabeth E. ;

Ling, Shari M. ;

Han, Lein F. ;

Rapp, Michael T. ;

Bradley, Elizabeth H. ;

Nallamothu, Brahmajee K. ;

Nsa, Wato ;

Bratzler, Dale W. ;

Curtis, Jeptha P. .

CIRCULATION, 2011, 124 (09) :1038-U112

[15] 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions [J].

Levine, Glenn N. ;

Bates, Eric R. ;

Blankenship, James C. ;

Bailey, Steven R. ;

Bittl, John A. ;

Cercek, Bojan ;

Chambers, Charles E. ;

Ellis, Stephen G. ;

Guyton, Robert A. ;

Hollenberg, Steven M. ;

Khot, Umesh N. ;

Lange, Richard A. ;

Mauri, Laura ;

Mehran, Roxana ;

Moussa, Issam D. ;

Mukherjee, Debabrata ;

Nallamothu, Brahmajee K. ;

Ting, Henry H. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 58 (24) :E44-E122

[16] Bleeding in Patients Undergoing Percutaneous Coronary Intervention The Development of a Clinical Risk Algorithm From the National Cardiovascular Data Registry [J].

Mehta, Sameer K. ;

Frutkin, Andrew D. ;

Lindsey, Jason B. ;

House, John A. ;

Spertus, John A. ;

Rao, Sunil V. ;

Ou, Fang-Shu ;

Roe, Matthew T. ;

Peterson, Eric D. ;

Marso, Steven P. .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2009, 2 (03) :222-U107

[17] The National Cardiovascular Data Registry (NCDR) Data Quality Brief The NCDR Data Quality Program in 2012 [J].

Messenger, John C. ;

Ho, Kalon K. L. ;

Young, Christopher H. ;

Slattery, Lara E. ;

Draoui, Jasmine C. ;

Curtis, Jeptha P. ;

Dehmer, Gregory J. ;

Grover, Frederick L. ;

Mirro, Michael J. ;

Reynolds, Matthew R. ;

Rokos, Ivan C. ;

Spertus, John A. ;

Wang, Tracy Y. ;

Winston, Stuart A. ;

Rumsfeld, John S. ;

Masoudi, Frederick A. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2012, 60 (16) :1484-1488

[18]

National Cardiovascular Data Registry, NCDR CATHPCI REG V4

[19]

New York State Department of Health, CARD DIS DAT STAT

[20] Contemporary Mortality Risk Prediction for Percutaneous Coronary Intervention Results From 588,398 Procedures in the National Cardiovascular Data Registry [J].

Peterson, Eric D. ;

Dai, David ;

DeLong, Elizabeth R. ;

Brennan, J. Matthew ;

Singh, Mandeep ;

Rao, Sunil V. ;

Shaw, Richard E. ;

Roe, Matthew T. ;

Ho, Kalon K. L. ;

Klein, Lloyd W. ;

Krone, Ronald J. ;

Weintraub, William S. ;

Brindis, Ralph G. ;

Rumsfeld, John S. ;

Spertus, John A. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 55 (18) :1923-1932

← 1 2 3 →