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 Laboratory

Jul 2011-
Jun 2012

Jul 2012 -
Jun 2013

Jul 2013-
Jun 2014

Angiography  

3266

3218

3568

PCI (Percutaneous Coronary Internvention)

 1087

 1156

 1459

TAVR (Transcatheter Aortic Valve Replacement)

 217

 252

 346

Mitra-Clip

 26

 22

 54

TPVR (Transcatheter Pulmonary Valve Replacement)

2

3

7

TMVR (Transcatheter Mitral Valve Replacement)

0

2

4

Valvuloplasty   

   Adult AVP (Aortic Valvuloplasty)

 97

59 

 48

   Pediatric AVP

 1

 4

 3

   Adult MVP (Mitral Valvuloplasty)

 6

 0

 4

   Pediatric MVP

 0

 0

 0

   Adult PVP (Pulmonary Valvuloplasty)

 2

 0 

   Pediatric PVP

 0

 5

 5

   Adult TVP (Transluminal      
  Valvuloplastry

  0 

  0 

   Pediatric TVP

 0

 0

0

Carotid Angiography / Carotid Stent

 26

 23

 33

Endomycardial Biopsy

 1138

 971

 1183

Intracoronary Stem Cell Injection / Therapy

 9

4

Intravascular Ultrasound

 504

 447

 606

Percutaneous Alcohol Septal Ablation for Hypertrophic Cardiomyopathy

 9

 8

 6

Percutaneous Closure of Perivalvular Leak

 3

 19

 15

Percutaneous Closure of Septal Defects   

    Adult ASD (Atrial Septal Defect)

 30

 27

 24

    Pediatric ASD

 5

 0

 1

    Adult PFO (Patent Foramen Ovale)

 12

 13

 16

    Peds PFO

 0

 0

 2

   Adult VSD (Ventricular Septal
   Defect) 

 4

 6

 3

Adult PDA (Patent Ductous Ateriosis)

 0

 1

 3

Pediatric PDS

1

2

12

Percutaneous Left Ventricular Assist Devices

17

30

29

Percutaneous Closure of Left Atrial Appendage Occlusion

14

34

28

Coronoary Reactivity Testing

62

47

35

Totals

6537

6351

7499

 

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 Laboratory

Jul 2011-
Jun 2012

Jul 2012 -
Jun 2013

Jul 2013-
June 2014

Outpatient procedures

3,893

3,839

4,531

% Outpatient procedures

58%

56%

60%

Inpatient procedures

2,884

3,016

3,021

Totals

6,867

6,855

7,552

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