Outcomes 2017 - Baylor Heart and Vascular Services FY2017 | Page 34

In First in Dallas: Corindus – Robotic Assisted Device ® A “first” in fiscal year 2017, Corindus® Vascular Robotics CorPath was introduced in the cath labs. Cardiologists on the medical staffs at Baylor Hamilton Heart and Vascular Hospital, together with Baylor Heart and Vascular Services at Fort Worth, became a part of a small group in the state of Texas to use robotic- assisted technology to perform coronary angioplasties or place cardiac stents. The Corindus Vascular Robotics CorPath System, the first and only FDA-cleared medical device to bring robotic-assisted precision to coronary angioplasty procedures, was purchased and placed into use at three Baylor Scott & White Health facilities – the only locations in North Texas.* With this addition to the cardiac cath labs at Baylor Hamilton Heart and Vascular Hospital, angioplasty procedures can now be performed using the enhanced visualization of the X-ray images with robotic precision. And with the skill of the clinical team and interventional cardiologists on the medical staff, Baylor Hamilton Heart and Vascular Hospital has become a training site for interventional cardiologists from across the United States. “Robotics offers physicians and patients a minimally invasive technology that improves the precision of stent and balloon placements and reduces radiation exposure during the procedure for physicians,” says Jeffrey Schussler, MD, FACC, FSCAI, FSSCCT, FACP, an interventional cardiologist and medical director of the cardiovascular intensive care unit, Baylor Hamilton Heart and Vascular Hospital. Although angioplasty remains one of the most frequently performed procedures in the United States, with more than 900,000 cases annually, the procedure itself has continued largely unchanged for decades. This new system is advanced technology available to interventional cardiologists and catheterization labs. Percutaneous Coronary Intervention 32 Baylor Hamilton Heart and Vascular Hospital is a well- known destination for interventional cardiology procedures with a reputation for clinical quality and good outcomes documented through data analyses by national registries. In fact, physicians from throughout the region send patients to cardiologists on the medical staff at Baylor Hamilton Heart and Vascular Hospital for angioplasty, also known as PCI, to unblock narrowed coronary arteries without performing surgery. PCI is a treatment option for patients with simple and complex ischemic cardiovascular disease, and patients benefit from on-campus research through Baylor Hamilton Heart and Vascular Hospital’s interventional program. 4,185 1,732 Cardiac catheterization cases (FY17) Total PCI cases † (FY17) Percutaneous Coronary Intervention** † BHVH U.S. Rate Lipid lowering medications at discharge 97.7% 94.7% Therapy with aspirin, P2Y12 inhibitor, and statin at discharge following PCI in eligible patients 99.6% 95.1% Angiotensin converting enzyme (ACE) inhibitors 61% 47.3% 92.9% 79.2% PCI length of stay <1 2 Complications** † BHVH U.S. Rate Percent total with stroke 0.2% 0.3% Percent total with any adverse events 3.2% 5.3% ACE or ARB among patients with EF <40% *At the time of printing **NCDR through Q1 2017 † Baylor Hamilton Heart and Vascular Hospital/Dallas location only