ICCK INTERVENTION REGISTRY

DATA1/1/2013 – 31/12/2013

Collection (96%)

Number of centers performing Number of centers performing interventionintervention

0

20

40

60

80

2007 2008 2009 2010 2011 2012 2013

59 77

North Zone - 20 Central Zone - 34 South Zone - 23

SOUTH ZONESOUTH ZONEMEDICAL COLLEGE, TRIVANDRUMSCTIMST, TRIVANDRUMANATHAPURI HOSPITAL, TRIVANDRUMMEDITRINA, TRIVANDRUMKIMS HOSPITAL, TRIVANDRUMSUT HOSPITAL, TRIVANDRUMSUT ROYAL HOSPITAL, TRIVANDRUMNIMS MEDICITY, TRIVANDRUMDR SM CSI MEDICAL COLLEGE, TRIVANDRUMPRS HOSPITAL, TRIVANDRUMGOKULAM MEDICAL COLLEGE, TRIVANDRUMSK HOSPITAL, TRIVANDRUMPNM HOSPITAL, KATTAKADASANKERS HOSPITAL, KOLLAMTRAVANCORE MEDICAL COLLEGE, KOLLAMBISHOP BENZIGOR HOSPITAL, KOLLAMHOLY CROSS HOSPITAL, KOTTIYAMPADMAVATHY HOSPITAL, KOTTARAKKARAVALIYATH INSTITUTE, KARUNAGAPALLYLOTUS HOSPITAL,KOTTARAKKARAVSM HOSPITAL, MAVELIKARAMEDICAL COLLEGE, ALAPPUZHAKVM HOSPITAL, CHERTHALA

CENTRAL ZONECENTRAL ZONEPUSHPAGIRI MEDICAL COLLEGE, THIRUVALLATMM HEART INSTITUTE, THIRUVALLAMUTHOOT MEDICAL CENTER, KOZHENCHERRYST. GREGORIOS HOSPITAL, PARUMALLAMEDICAL COLLEGE, KOTTAYAMBHARATH HOSPITAL, KOTTAYAMCARITAS, KOTTAYAMMARIYAN MEDICAL CENTER, PALAMEDITRINA, CHETHIPUZHAAMRUTHA MEDICAL COLLEGE, KOCHIMEDICAL TRUST HOSPITAL, KOCHILISIE HOSPITAL, KOCHILAKESHORE HOSPITAL, KOCHISUN RISE HOSPITAL, KOCHIPVS HOSPITAL, KOCHIMOSC MEDICAL COLLEGE, KOLENCHERRYST. MARY’S, THODUPUZHALF HOSPITAL, ANKAMALYLOURDES HOSPITAL, KOCHIASTER MEDICITY, KOCHISAMARITAN HOSPITAL, ALUVASt. JAMES, CHALAKUDYWESTFORT HI TECH HOSPITAL, THRISSURSUN MEDICAL CENTER, THRISSURJUBILEE MEDICAL COLLEGE, THRISSURAMALA MEDICAL COLLEGE, THRISSURASWINI HOSPITAL, THRISSURDAYA HOSPITAL, THRISSURMOTHER HOSPITAL, THRISSURRAJAH HOSPITAL, CHAVAKKADLAKSHMI NURSING HOME, PALAKKADTHANKAM HOSPITAL, PALAKKADPK DAS, VANIYAMKULAMVALLUVANAD HOSPITAL,OTTAPALAM

NORTH ZONENORTH ZONEEMS MEMORIAL CO OP HOSPITAL, PERINTHALMANNAMAULANA HOSPITAL, PERINTHALMANNAAL SHIFA HOSPITAL, PERINTHALMANNAMES MEDICAL COLLEGE, PERINTHALMANNAAL MAS, KOTTAKKALMIMS HEART, KOTTAKKALFATHIMA HOSPITAL, CALICUTMIMS, CALICUTPVS HOSPITAL, CALICUTMEDICAL COLLEGE, CALICUTNIRMALA HOSPITAL, CALICUTIQRAA HOSPITAL, CALICUTBABY MEMORIAL HOSPITAL, CALICUTKMCT MEDICAL COLLEGE,CALICUTMETRO CARDIAC CENTRE, CALICUTSAHAKARANA HRUDAYALAYA, KANNURMEDICAL COLLEGE, KANNURKOYILI HOSPITAL,KANNURDM INSTITUTE OF MEDICAL SCIENCES, WAYANADMETRO LEO HOSPITAL, WAYANAD

PCI – Kerala - Growth

0

5000

10000

15000

20000

25000

30000

35000

2007 2008 2009 2010 2011 2012 2013

PCI - Male- Female ratio

0

20000

40000

MALE FEMALE

21869

8207

Femoral Vs Radial2011 2012

1040211377

FEMORALRADIALULNAR

PCI – Age wise data

0

5000

10000

15000

20000

25000

1 2 3

BELOW 4040 - 70ABOVE 70

PCI Centres

One centre - 2340 maximum. (North)

2000 – North zone South zone

1500 - 1 north zone 1 central zone

1000 – 2 north zone 2 central zone 2 South zone

Single Vs Multi vessel disease

0

5000

10000

15000

20000

Single Vessel Multi Vessel

2011 2012 2013

2b3a -Molecule

0

10000

ABCIXIMAB (REOPRO)EPTIFIBATIDE TIROFIBAN

Complications of PCI

Mortality – 47 (0.7%), 61 (0.8%)

Subacute stent thrombosis – 33

Primary PTCAPrimary PTCA

0

5000

10000

20072008 2009 2010 2011 2012 2013

832 1697 2493 3585 4898 6816 8539

Stent use in PAMI

4789

1836

DESBMS

2012

6711

1350

DESBMS

2013

PAMI49% Thrombus Aspiration devices

2b3a Use

0

1000

2000

3000

ABCIXIMAB INTEGRILIN TIROFIBAN

32 46

2701

Non-Coronary Intervention Non-Coronary Intervention data data Balloon Mitral Valvotomy

Total Number – 783 8 centres – 6 centres Inonue, 4

centres Life Tech, All other centres – Accura

MR – 9%

Other Valve InterventionsOther Valve InterventionsBalloon aortic valvotomy 50 CasesBalloon pulmonary valvotomy 152 casesBalloon Tricuspid valvotomy 1 case

Peripheral Vascular Peripheral Vascular InterventionsInterventionsIliac – 253Femoro-popliteal – 358Carotid – 107 (all reported distal protection)

Renal - 153

Congenital Heart DiseaseCongenital Heart DiseaseASD Device Closure – 806 N = 221 done in one center Majority – Chinese devices.

VSD – 29 Cases

PDA – 336 Device, 47 coils

ConclusionsConclusions Number of centers doing Interventions increasing

steadily. 54% increase in PPCI. Use of DES is high. 80% Primary PCI – DES Preferred. Radial route is increased. Growing number of structural interventions being

performed .

Thanks to …Thanks to …All centers for sending data.

Dr. S.M. AshrafSecretaryICCK