CARDIAC CATH LAB - Mount Sinai Hospital

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NYS DOH Reported PCI Volumes N 5,000 4,786 4,401 4,616 Mount Sinai Hospital North Shore Hospital 4,000 3,000 2,931 3,845 Saint Francis Hospital 2,000 Columbia Presbyterian 1,000 Lenox Hill Hospital 0 2004 2005 2006 2007 2008 Mount Sinai Hospital’s cardiac catheterization laboratory is one of the busiest in the country and the most active center in the state. Growth has been tremendous over the past five years, as the chart above shows. Our cath lab rose to the top position among New York State hospitals in 2005 and since then has had a commanding lead of over 1,400 interventions over any other center from 2006 to 2009, with growth occurring in both coronary and noncoronary interventions. Data is taken from New York State’s own Department of Health statistics. 10 Mount Sinai Hospital Cardiac Cath Lab
Temporal Complication Trends % 0.6 0.5 0.4 0.3 2005 (N = 3,884) 2006 (N = 4,825) 2007 (N = 4,422) 0.2 0.1 0 In-hospital Urgent Q-wave/ All Major Death CABG Large MI Complications (Death, uCABG, MI, CVA) Major complications of PCI include death, a heart attack (MI), stroke or an urgent need for open-heart surgery (CABG) as a result of the procedure. The sum of those numbers for the past five years represents less than 0.55 percent and in-hospital mortality of less than 0.25 percent. These low complication rates, credited to uniform protocols across all staff, are all the more remarkable for the fact that our cath lab accepts the most difficult coronary and valvular cases, many of them deemed too risky or “not-doable” elsewhere. The comparative data of patients’ clinical characteristics, as shown in the table on page 12, confirms significantly higher adverse features of PCI patients treated at MSH compared to New York State. Also, a comparison of complication rates of PCI at MSH cath lab with New York State, ACC-NCDR and Cleveland Clinic is shown in the attached graphs and summarizes our complication rates as one-third to half of the reported national and regional standards. 2008 (N = 4,594) 2009 (N = 5,078) 5,070 is the number of patients out of 5,078 who went home after PCI regardless of the gravity of their presentation. Results Clinical Outcomes Report 11
Page 1 and 2: CARDIAC CATH LAB 2010 CLINICAL OUTC
Page 3 and 4: TABLE OF CONTENTS What We Do 4 Resu
Page 5 and 6: A MESSAGE FROM VALENTIN FUSTER, MD,
Page 7 and 8: interventions, with a new record of
Page 9 and 10: five full-time senior attendings, f
Page 11: PCI Major complication (N): 18 24 2
Page 15 and 16: Major Complications Following PCI C
Page 17 and 18: Other Quality Indicators of the Int
Page 19 and 20: showed conclusively that among the
Page 21 and 22: Late Stent (DES) Thrombosis (after
Page 23 and 24: Once we have that information, our
Page 25 and 26: The PROSPECT Trial has also contrib
Page 27 and 28: comparable program. We also have a
Page 29 and 30: which are designed to provide indep
Page 31 and 32: een declined transplantation elsewh
Page 33 and 34: transesophageal echocardiography ha
Page 35 and 36: Antonietta Tolentino, CCRN, MSN, NP
Page 37 and 38: 6. Bolus-only vs. bolus + infusion
Page 39 and 40: Study Study Sponsor PI Target Curre
Page 41 and 42: Patient: Kevin Lang, 48-year-old ma
Page 43 and 44: Patient: Mario Mendoza, 46-year-old
Page 45 and 46: Patient: Louis Diaz, 83-year-old ma
Page 47 and 48: FULL-TIME SENIOR FACULT Y Samin K.
Page 49 and 50: Michael C. Kim, MD, FACC Assistant
Page 51 and 52: FULL-TIME AFFILIATE FACULT Y Javed
Page 53 and 54: Paul S. Lee, MD Associate Professor
Page 55 and 56: William J. Schwartz, MD Assistant C
Page 57 and 58: Nurse Practitioner Team Mount Sinai
Page 59 and 60: Interventional Research Team (Left
Page 61 and 62: LIVE COMPLEX CORONARY & VASCULAR CA
Page 63 and 64:
MOUNT SINAI HEART DIRECTORY Area Te
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CARDIAC CATH LAB - Mount Sinai Hospital

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