Interventional Council of India Midterm Annual Meeting 2011- New Delhi Coronary Intervention Data Year : 2010 Dr. P. P. Mohanan Co-ordinator, Coronary Angioplasty West Fort H. Hospital Thrissur

Coronary Intervention Data for the year 2010

Data Collected from centers: 251 Total Coronary Interventions : 117420 Coronary Intervention Data for the year 2010

Centers Percentage in relation to No. of Procedure Coronary Intervention Data for the year 2010

Age Group Data Coronary Intervention Data for the year 2010

Age Group –Center Volume Data Analysis Coronary Intervention Data for the year 2010

Gender Data Coronary Intervention Data for the year 2010

Gender – Center Volume Data Analysis Coronary Intervention Data for the year 2010

Radial Approach Coronary Intervention Data for the year 2010

Approach– Center Volume Data Analysis Coronary Intervention Data for the year 2010

Vessels treated Coronary Intervention Data for the year 2010

Vessel Treated – Center Volume Data Analysis Coronary Intervention Data for the year 2010

Vessels Distribution Coronary Intervention Data for the year 2010

Vessel Distribution – Center Volume Data Analysis Coronary Intervention Data for the year 2010

Total Stents & DES Used Coronary Intervention Data for the year 2010

Total Stents & DES Trends Coronary Intervention Data for the year 2010

Stent – Center Volume Data Analysis Coronary Intervention Data for the year 2010

Drug Eluting Stents Coronary Intervention Data for the year 2010

Drug Eluting Stents Coronary Intervention Data for the year 2010

Other Devices Used Coronary Intervention Data for the year 2010

GP IIB/IIIA Blockers Percentage use Coronary Intervention Data for the year 2010

GPIIB-IIIA – Center Volume Data Analysis Coronary Intervention Data for the year 2010

In Hospital Events In-Hospital Event – Center Volume Data Analysis Coronary Intervention Data for the year 2010

Sub Acute Thrombosis & Approach to SAT Coronary Intervention Data for the year 2010

SAT & SAT Approach – Center Volume Data Analysis Coronary Intervention Data for the year 2010

Interventions in Acute MI Coronary Intervention Data for the year 2010

Interventions in Acute MI – Center Volume Data Analysis Coronary Intervention Data for the year 2010

Age Group in Acute MI Procedures Coronary Intervention Data for the year 2010

Gender Data in Acute MI Coronary Intervention Data for the year 2010

Procedure Approach in Acute MI Coronary Intervention Data for the year 2010

Procedure Approach– Center Volume Data Analysis Coronary Intervention Data for the year 2010

Killip Class at Presentation Coronary Intervention Data for the year 2010

Vessels Distribution in Acute MI Coronary Intervention Data for the year 2010

Peri-Procedure Adjuncts in PAMI Coronary Intervention Data for the year 2010

GP IIB/IIIA Blockers Percentage use in Acute MI Coronary Intervention Data for the year 2010

Procedure Success & In Hospital Mortality in Acute MI Coronary Intervention Data for the year 2010

Stents use in Acute MI Interventions Coronary Intervention Data for the year 2010

Conclusions Coronary interventions are increasing each year The estimated percentage increase in 2010 was 24.33% There is trend of smaller centres coming up across India and medium volume centres are moving upwards. Around 40% of procedures are performed by larger volume centers. The percentage of interventions in old age group people has increased where as intervention in patient age less than 40 is more or less same. Radial approach had downward trends in last year. Coronary Intervention Data for the year 2010

Conclusions Percentage of Drug eluting stents has increased in last year. It could be due to less costlier stents available in the market?. Instance of Sub Acute Thrombosis has increased in last year. Percentage of Acute MI interventions has marginally increased.. Procedure approach in Acute MI interventions shows Femoral is still preferred choice in Primary PCI. GP2B 3A Use in AMI has decreased significantly. Use of IVUS has significantly increased. Mortality rate in low volume centers is 5 time of larger volume centers. Coronary Intervention Data for the year 2010

Suggestion for Improvement of Registry There should be comparative analysis reports sent back to participating centers to help them improve their practice. Encourage all the cath-centers to maintain clinical data for each patient on paper / softwares. Encourage all the cath-labs to actively participate in Prospective National Registry. All Cath Labs should use clinical data management software's in the Cath Labs to maintain data on daily basis. Continuously upgrading the list of all the cath labs specially of the newer centers. Coronary Intervention Data for the year 2010

Thank you Coronary Intervention Data for the year 2010