Temporal Trends in Coronary Angiography and Percutaneous Coronary Intervention: Insights From the VA Clinical Assessment, Reporting, and Tracking Program

JACC. Cardiovascular Interventions
Stephen W WaldoThomas M Maddox

Abstract

The aim of this study was to evaluate temporal trends in characteristics and outcomes among patients referred for invasive coronary procedures within a national health care system for veterans. Coronary angiography and percutaneous coronary intervention remain instrumental diagnostic and therapeutic interventions for coronary artery disease. All coronary angiographic studies and interventions performed in U.S. Department of Veterans Affairs cardiac catheterization laboratories for fiscal years 2009 through 2015 were identified. The demographic characteristics and management of these patients were stratified by time. Clinical outcomes including readmission (30-day) and mortality were assessed across years. From 2009 to 2015, 194,476 coronary angiographic examinations and 85,024 interventions were performed at Veterans Affairs facilities. The median numbers of angiographic studies (p = 0.81) and interventions (p = 0.22) remained constant over time. Patients undergoing these procedures were progressively older, with more comorbidities, as the proportion classified as having high Framingham risk significantly increased among those undergoing angiography (from 20% to 25%; p < 0.001) and intervention (from 24% to 32%; p < 0.001). Sim...Continue Reading

Citations

May 21, 2019·Circulation. Cardiovascular Quality and Outcomes·Rory S BrickerStephen W Waldo
Apr 16, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Santiago GarciaScott W Sharkey
May 28, 2020·Journal of the American Heart Association·Rony Lahoud, Harold L Dauerman
May 15, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Lyndon C BoxEhtisham Mahmud
Feb 11, 2019·Current Treatment Options in Cardiovascular Medicine·Joshua Schulman-MarcusNeil Yager
May 26, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Christopher BarrettStephen W Waldo
Jan 1, 2019·Journal of the American Heart Association·Javier A Valle, P Michael Ho
Nov 12, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Neil YagerMikhail Torosoff
Apr 5, 2021·JACC. Cardiovascular Interventions·David L Fischman
Aug 17, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Srihari S NaiduLaurie Zinn
Aug 29, 2020·Journal of the American College of Cardiology·Stephen W WaldoP Michael Ho
Aug 31, 2021·Journal of the American Heart Association·Jarmanjeet SinghSamir R Kapadia
Sep 12, 2020·Journal of the American College of Cardiology·Harold L Dauerman, Michael J Mack
Dec 15, 2021·Circulation. Cardiovascular Interventions·Jacob A DollStephen W Waldo
Dec 2, 2021·Circulation. Cardiovascular Interventions·Jacob A DollTracy Y Wang

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