INTERVENTIONAL CARDIOLOGY
Percutaneous Coronary Intervention
Known throughout the region and nationally for percutaneous coronary interventional ( PCI ) work , the interventional cardiologists on the medical staff of Baylor Scott & White Heart and Vascular Hospital – Dallas have a reputation for clinical quality and good outcomes documented through data analyses by national registries . PCI continues to be the favored treatment option for patients with simple and complex ischemic cardiovascular disease , and patients benefit from the on-campus research through Baylor Scott & White Heart and Vascular Institute .
Percutaneous Coronary Intervention *
Risk-adjusted mortality
Post-procedure stroke
MACE : Death , emergent CABG or repeat revascularization
Diagnostic Caths : Major bleed post procedure
U . S . 90th Percentile
BSWHVH- Dallas
Better , Same , or Worse than 90th Percentile
1.08 % 0.69 % Better
0.2 % 0.0 % Better
1.03 % 0.88 % Better
0.0 % 0.0 % Same as
* NCDR through Q4 2017 Baylor Scott & White Heart and Vascular Hospital – Dallas
1.1 days PCI Length of Stay ( FY18 )
SOCIETY OF CARDIOVASCULAR PATIENT CARE CHEST PAIN CENTER WITH PCI
THE JOINT COMMISSION CHEST PAIN CERTIFICATION
U . S . Median : 2.2 days
In fiscal year 2018 , Baylor Scott & White Heart and Vascular Hospital had full Chest Pain Center with PCI accreditation from the Society of Cardiovascular Patient Care ( SCPC ).
New in fiscal year 2018 , together with Baylor University Medical Center , Baylor Scott & White Heart and Vascular Hospital – Dallas was awarded the Gold Seal from The Joint Commission for Chest Pain Certification . This special certification is given upon a thorough review of performance for acute myocardial infarction ( AMI ) and acute coronary syndrome ( ACS ).
Chronic Total Occlusion Stenting
Baylor Scott & White Heart and Vascular Hospital is a referral center for high-risk patients with coronary artery disease seeking treatment for totally occluded arteries with chronic total occlusion ( CTO ) stenting . An option to bypass surgery or traditional stenting , interventional cardiologists thread a wire catheter against the standard flow of blood in the artery to the site of the blockage . Traditionally , total blockages of the coronary artery have been difficult to clear with interventional procedures . New technology makes fine movement of the guide wire tip much easier to control than in the past . Baylor Scott & White Heart and Vascular Hospital - Dallas is among just a handful of facilities in Texas offering this service to address coronary obstructions .
In the last few years , the success rate of the combined percutaneous approach has increased from about 60 percent to more than 85 percent . This is in comparison to the success rate of about 98 percent for percutaneous treatment of non-total blockages . Although the percutaneous approach has potential complications , the complication rate is comparable to that of standard angioplasty ( about one percent ). In addition to being one of the highest volume CTO cardiac centers in the nation , the hospital is also dedicated to research and innovation .
Baylor Scott & White Heart and Vascular Hospital - Dallas is participating in the CTO Progress Registry , a national database of elite cardiac centers nationwide that share data to identify best practices and best outcomes , and patients benefit from CTO related studies including various research trials to drive innovation . As one of four participating organizations in Texas , it is an honor for the hospital , and participation differentiates the program ’ s capabilities from many others .