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The Mount Sinai Hospital Earns Highest Ratings in New York State Report on Coronary Angioplasty
Date:4/29/2010

dure for everyone involved, from the nursing staff to the attending physicians. It outlines not only standard procedures but also protocols for dealing with complications that might occur, such as a patient kidney malfunction or allergic reaction. What’s more, each month, the entire staff meets to discuss and analyze any new issues that may have arisen, and the manual is updated to address them.

Percutaneous Coronary Intervention is a minimally invasive technique used to treat patients with diseased or blocked coronary arteries. The procedure involves threading a catheter with a tiny balloon from an artery in the groin to an occluded vessel in the heart. The clinicians inflate the balloon so they may clear the artery and then insert a stent to secure the open vessel. When the blockage is calcified, it makes the artery difficult to open. In those cases, the Mount Sinai Cath Lab has become adept at using the Rotablator, a high-speed spinning device that breaks up and clears the calcification so the balloon can open the artery. The Rotablator, or rotational atherectomy, is used in 9-10 percent of angioplasties at Mount Sinai, versus just 1-2 percent of cases nationwide.

“That method makes a complex case simple,” Dr. Sharma noted. “And because of our expertise in handling difficult angioplasty procedures, we have developed an excellent reputation, so that other doctors and hospitals send their complex cases to us. We like those cases too, because we know we can do a good job and make a difference for those patients.”

The Department of Health has been assessing angioplasty results of hospitals across the state for more than 15 years, with the first PCI report released in 1996. Its report analyzes statistics including observed mortality rates and expected mortality rates for each hospital and each doctor, and computes a risk-adjusted mortality rate that accounts for providers treating more or fewer high-risk patient
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