Measuring the Quality of Care Given to Patients Undergoing Procedures at the Cedars-Sinai Cardiac Catheterization Laboratory

Cardiac catheterization allows a doctor to see how the blood flows through the heart and how well the heart is pumping.

The procedure involves a doctor inserting a thin plastic tube (catheter) into an artery or vein in the arm or leg. From there, it can be threaded into the chambers of the heart or into the arteries that feed the heart muscle. A great deal of information can be collected in the process, including:

  • Measuring blood pressure inside the heart
  • Checking oxygen levels of blood inside the heart
  • Identifying abnormalities inside the heart
  • Injecting dyes into the arteries of the heart to create a detailed image of the condition of the arteries. ¬†This is called coronary angiography.
  • Attaching balloons to the catheter to help open up narrow or blocked arteries in the heart (percutaneous coronary intervention)
  • Placing stents -- small metal frames that can help hold open narrow or blocked arteries (stenting)

Cardiac Catheterization Procedure Volumes

The table below shows the number and type of procedures done at the Cedars-Sinai Cardiac Catheterization Laboratory.

Types of Procedures Done at the Cedars-Sinai Cardiac Catheterization LaboratoryJul 2010 - Jun 2011Jul 2011 -
Jun 2012
Jul 2012-
June 2013
Angiography / coronary atherectomy4,4314,9815,160
Carotid angiography / carotid stent202623
Endomyocardial biopsy / heart muscle biopsy10191138971
Intracoronary stem cell injection / therapy590
Intravascular ultrasound425504447
Percutaneous alcohol septal ablation for hypertrophic cardiomyopathy498
Percutaneous closure of septal defects434666
Percutaneous left ventricular assist devices101730
Percutaneous closure of left atrial appendage occlusion121434
Temporary percutaneous implantation electrophysiology776169
Coronary reactivity testing466247

 

Comparing the Proportion of Inpatient Procedures to Outpatient Procedures

Procedures that are done on an outpatient basis do not require a stay overnight in the hospital. These procedures tend to be less invasive. As a result, a patient's recovery from them tends to be faster, less painful and have fewer complications. The table below compares the volume of procedures done at the Cedars-Sinai Cardiac Catheterization Laboratory on an outpatient basis versus an inpatient basis.

Volume of Procedures by Type Done at the Cedars-Sinai Cardiac Catheterization LaboratoryJul 2010- Jun 2011Jul 2011 - Jun 2012Jul 2012- June 2013
Outpatient procedures3,5743,8933,839
% Outpatient procedures56%58%56%
Inpatient procedures2,5182,8843,016
Totals6,0926,8676,855
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