1 | P a g e

Staat voor Registratie, Transparantie en Kwaliteit

National Cardiovascular Data Registry

WTC-gebouw Amsterdam

Toren B - Level 2

Strawinskylaan 229

1077 XX Amsterdam

Website: www.ncdr.nl

De NCDR is gecertificeerd voor het toetsbaar voorschrift NEN 7511-2; 2005 behorend bij NEN

7510;2004.

Rapportage pacemaker/icd implantaties 2011 (DIPR)

juli/augustus 2012

Centrum 106: Leids Universitair Medisch Centrum, Leiden

Alleen gegevens van ziekenhuizen die het hele jaar hebben aangeleverd en zijn geaudit (N=92).

2 | P a g e

Basic pacemaker + ICD data

Pacemakers (excluding IPGs with CRT functionality):

2011-Center 2011-NL

Total pacemaker units 174 10389

CRT devices (CRT-P + CRT-D):

2011-Center 2011-NL

Total CRT units 249 2394

Thereof, CRT-P 9 519

CRT-D 240 1873

ICD (excluding ICDs with CRT function)

2011-Center 2011-NL

Total ICD units 209 2931

Re-procedures within 90 days (IGZ quality indicator 6.4.2):

Numbers represent information as made available to the NCDR

Total number of procedures in 2011

Re-procedures within 90 days

Percentage

2011: 17878 598 3,3%

Center: 635 29 4,6%

Center = Leids Universitair Medisch Centrum, Leiden

3 | P a g e

Number of PM implants: center vs NL

Figure 1: Number of pacemaker implantations per center for 2011. In red, this center

0

50

100

150

200

250

300

350

Nu

mb

er o

f P

M im

pla

nta

tio

ns

Center

Number of implanted pacemakers per center (2011)

Center

4 | P a g e

Age and gender

Figure 2a shows the mean age of patients at pacemaker implants in male patients and female patients.

Figure 2b shows the percentual distribution of pacemaker implantations in men versus women.

55

60

65

70

75

80

male female

64,1 64,0

74,2 76,5

DIPR: mean age at PM implant, male/female, 2011

Center NL

0%

10%

20%

30%

40%

50%

60%

Center NL

49,5%

55,4% 50,5%

44,6%

DIPR: pacemaker implantations 2011; gender distribution

male female

5 | P a g e

Figure 3a (NL)

Figure 3b (Center)

Figures show the percentual age distribution for PM implants, both for male and female patients.

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

0 10 20 30 40 50 60 70 80 90 100

DIPR 2011: PM implantations per age group; male/female; NL (%)

Male%

Female%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

0 10 20 30 40 50 60 70 80 90 100

DIPR 2011: number of PM implantations per age group; male/female; center (%)

Male%

Female%

6 | P a g e

CRT versus non-CRT: pacemaker implantations

Figure 5a (NL)

Figure 5b (Center)

Figures show that only 5% (NL and Center) of all PM implants involve resynchronization therapy.

non CRT-P; 95,2%

CRT-P; 4,8%

Pacemaker implantations 2011: CRT-P versus non CRT-P device

non CRT-P; 95,1%

CRT-P; 4,9%

Pacemaker implantations 2011: CRT-P versus non CRT-P device; center

7 | P a g e

CRT versus non-CRT: ICD implantations

Figure 6a (NL)

Figure 6b (Center)

Figures show that 39,3% (NL) versus 53,5% (Center) of all ICD implants involve resynchronization therapy.

non CRT-D; 60,7%

CRT-D; 39,3%

ICD implantations 2011: CRT-D versus non CRT-D device (NL)

non CRT-D; 46,5% CRT-D; 53,5%

ICD implantations 2011: CRT-D versus non CRT-D device (center)