Award-Winning Leadership for Patient Safety
Interventional Cardiology/Cardiac Catheterization at Mount Sinai Heart consistently ranks as the foremost leader in New York State for volume and lowest complications of percutaneous coronary intervention (PCI). Our Cardiac Catheterization Laboratory is the top in the nation with more than 5,500 interventions performed each year for the last five years. Seamless teamwork and adherence to meticulous clinical protocols have enabled Mount Sinai to achieve an unprecedented level of excellence in patient safety.
"We have a set protocol for all the routine and complex procedures," Samin K. Sharma, MD, Director of Clinical and Interventional Cardiology, and President of Mount Sinai Heart Network explains. "If a complication should occur, we have protocols for how the procedure should be done from a technical point of view."
There are separate protocols for nurses and nurse practitioners. Every morning, any significant complication that has occurred day before, is discussed openly with the entire cath lab team and the protocol is reviewed for any deficiencies. "It is important that everyone is on the same page in terms of the protocols of the lab so that there is a tested system in place to manage any situation that may occur."
"We are in constant communication and emphasize incremental improvement in every area," adds Annapoorna Kini, MD, Director of the Catheterization Laboratory. She and her team ensure that senior attending interventionalists are present whenever the lab is open, which is six days a week.
Mount Sinai's Cardiac Cath Lab Earns Highest Safety Rating
Mount Sinai's Cardiac Catheterization Laboratory earned the highest "two star" safety rating in overall and non-emergency cases for percutaneous coronary intervention (PCI), per the recent report from New York State Department of Health. Additionally, Dr. Sharma was the only physician in the state of New York awarded the highest "two-star" safety rating for both emergency and non-emergency cases, indicating that he has significantly below-average mortality ratings among doctors performing PCI in all cases. He has received "two-star" safety rating multiple times in the past. It is important to note that patient volume has consistently increased over the last few years, as well as the number of complex cases (Dr. Sharma performs more than 1,500 complex procedures each year).
Dr. Kini performs more than 1,000 coronary interventions annually (the highest number by a female interventionalist in the United States) with an extremely low complication rate of <0.3 percent. In August of 2009 and February 2010, a New York State report named her as the safest operator among 350 other physicians in the state of New York. She is highly regarded for performing the complex coronary interventions, especially in chronic total occlusions for patients with advanced heart disease with utmost safety and excellent long-term results. She has become the national expert on heart assist devices, including Tandem Heart and Impella, which are crucial for many of these high-risk cases. Dr. Kini also specializes in the non-coronary interventions of mitral and aortic balloon valvuloplasty, and alcohol septal ablation for obstructive hypertrophic cardiomyopathy.