2014 data
Peter F Ludman
BCIS National Audit Lead
On behalf of
British Cardiovascular Intervention Society
Basingstoke October 2015
Contents
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Structure
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NICOR data collection
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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
Centre participation
Databases used
Case ascertainment
Data completeness
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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
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Delays to treatment
NSTEMI (direct v IHT)
Primary PCI DTB / CTB
IHT versus Direct admission
Length of stay
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Outcome
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Adult non coronary intervention
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TAVI
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NICOR IT developments
Research Output
Public Reports and risk adjusted outcomes
Conclusions and summary
Appropriateness
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2014 data
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MACCE
Peri-procedural complications and by access
Tracked 30 day mortality
• Outcome by syndrome
• Outcome by lesion subset
Septal ablation for HOCM
Mitral valvuloplasty
Mitraclip /PFO / ASD closure / LAA occlusion
Para-prosthetic leak closure
Renal Denervation
Percutaneous Pulmonary valve
Activity by centre
Demographics
Valve types
Delivery approaches by valve type
Pacing
Complications
Appendix: PCI Centre NICOR / CCAD Centre codes
2014 data
TAVI
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Transcatheter Valves
Case ascertainment
2014 data
TAVI
Total = 7,417
2014 data
Data extract 01-06-2015
2000
1860
1800
1530
1600
1400
1288
1200
1039
Number of TAVI
Procedures 1000
Performed
780
800
559
600
400
200
295
66
0
2007 2008 2009 2010 2011 2012 2013 2014
TAVI
Total Procedures by unit and year
2014 data
2014 data
TAVI
Total Procedures by unit and year
2014 data
TAVI
Rate pmp by Country
2014 data
TAVI
Rate pmp by LAT
2014 data
TAVI
2014 data
UK Survey June 2015
What is the number of patients on your waiting list now for
elective TAVI at your centre?
80
70
60
Mean 25
Median 19
50
40
30
20
10
0
1
3
5
7
9
11 13 15 17 19 21 23 25
TAVI
2014 data
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?
300
250
Mean 87
Median 75
200
150
100
50
0
1
3
5
7
9
11 13 15 17 19 21 23 25
TAVI
2014 data
UK Survey June 2015
What number of cases have your commissioners agreed to
fund this year?
7: No formal agreement
1: 25 pmp
1: No limit
180
160
140
120
100
80
60
40
20
0
1
3
5
7
9
11 13 15 17 19 21 23 25
TAVI
Female (%)
2014 data
TAVI
Mean Age (years)
2014 data
TAVI
2007-2014
2014 data
TAVI
2007-2014
2014 data
TAVI
Mean Logistic EuroSCORE
2014 data
TAVI
Diabetic (%)
2014 data
TAVI
2014 data
Renal failure pre TAVI (%)
Definition: creatinine > 200, and/or on dialysis
TAVI
Previous cardiac surgery (%)
2014 data
TAVI
2014 data
Of patients treated by TAVI: Prior Aortic balloon Valvuloplasty
TAVI
LVEF pre TAVI
2014 data
TAVI
Valve Manufacturer
2014 data
TAVI
Delivery Approach
2014 data
TAVI
2014 data
Pacing - All
Due to TAVI = Pre TAVI in preparation and post TAVI as required
TAVI
2014 data
Pacing – Edwards Sapien
Due to TAVI = Pre TAVI in preparation and post TAVI as required
TAVI
2014 data
Pacing – Medtronic CoreValve
Due to TAVI = Pre TAVI in preparation and post TAVI as required
TAVI
Complications: CVA up to Dx (%)
2014 data
TAVI
2014 data
Conversion to Surgery in Lab (n)
New Dataset (V4)
‘Conversion to full
Sternotomy’
Principle reason:
Old Dataset (V3)
‘Emergency surgery’
2014
Haemorrhage (14)
Valve surgery (10)
other (2)
TAVI
Emergency Valve-in-Valve in lab (n)
2014 data
TAVI
Device Embolisation in lab (n)
2014 data
TAVI
2014 data
New Haemofiltration or dialysis post procedure (%)
TAVI
Mortality (Tracked at 30 days as %)
2014 data
TAVI to treat other valves
Mitral
3
2
Number of
procedures
2014
1
0
NCR
Number of centres: 7
BHL
CHN
ERI
MRI
QEB
STH
2014 data
TAVI to treat other valves
Tricuspid
3
2
Number of
procedures
2014
1
0
RSC
Number of centres: 3
MOR
QEB
2014 data
UK PCI Centre Codes 2014
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2014 data
UK PCI Centre Codes 2014
Back to contents
2014 data
UK PCI Centre Codes 2014
Back to contents
2014 data