Riley Children's Health Annual Report 2023 – 2024

INTERVENTIONAL CARDIOLOGY AND ELECTROPHYSIOLOGY

Quality outcomes across procedures Electrophysiology (EP) EP study or ablation procedures with a major intra- or post-procedure adverse event

0%

The interventional cardiologists at Riley Children’s Health have expertise in using the latest invasive, catheter-based procedures to diagnose and treat congenital heart conditions. Part of an elite cardiology program, our skilled specialists provide essential anatomic evidence during diagnostic procedures to direct cardiovascular surgical interventions. They also repair heart conditions, such as patent ductus arteriosus, atrial septal defect and ventricular septal defect that allow both children and adults to avoid open heart surgery.

Manifest (Wolff-Parkinson-White syndrome type) accessory pathways with an acute outcome of “elimination of antegrade conduction (elimination of retrograde conduction)” Proportion of accessory pathways-concealed substrate ablations with an acute outcome of “elimination of retrograde AP conduction”

100%

DIRECTOR Mark H. Hoyer, MD

100%

Professor of Clinical Pediatrics and Medicine, IU School of Medicine > Connect with Dr. Hoyer on Doximity.

Interventional Cardiology and Electrophysiology Procedures: 2023

PROGRAM DISTINCTIONS

Specialized programs Adult Congenital

5 board certified physicians

>

46% Interventional cardiology

See full team member list

Indiana’s only accredited adult congenital electrophysiology program

■ Ranked among the leading pediatric heart programs in the nation by U.S. News & World Report ■ Pediatric cardiac catheterization lab accredited by the Intersocietal Accreditation Commission (IAC) ■ One of only 10 pediatric facilities nationwide accredited by IAC in cardiac electrophysiology and one of only six in cardiovascular catheterization; only IAC- accredited catheterization lab in Indiana

Electrophysiology Program Multidisciplinary program includes electrophysiologists who specialize in treating adult congenital heart disease. Project ADAM

1% Electrophysiology

5% Pacemaker/Implantable cardioverter-defibrillator (ICD)

NOTABLE PUBLICATIONS CJEM: July 2023 Idiopathic Fascicular Ventricular Tachycardia in Children: A Challenging Arrythmia Worth Recognizing Pacing and Clinical Electrophysiology: March 2023 Quality of Life of Children and Young Adults With and Without Cardiovascular Implantable Electronic Devices During the COVID-19 Pandemic Pediatric Cardiology: August 2023 The Effects of Cardiac Implantable Electronic Device Personal Protective Equipment Use in Patients with Pediatric and Adult Congenital Heart Disease Journal of Child Neurology: March 2023 Tolerability and Safety of Lacosamide in Neonatal Population

26% Diagnostic

11% Biopsy/ Treatment

11% Electrophysiology ablation

As a project affiliate, Riley Children’s assists schools and communities in establishing emergency action plans for incidences of sudden cardiac arrest. Advanced technologies and procedures ■ We place subcutaneous implantable cardiac defibrillator systems (S-ICD) for children who will benefit from ICD yet have no indication for a pacemaker. Riley Children’s participated in a multicenter study assessing the effectiveness of S-ICD. ■ Riley Children’s was one of the first in the nation to routinely treat PDA in premature infants through cardiac catheterization. Our team now performs 30 to 40 closures each year in babies as small as 700 grams. ■ We offer transvenous pacemaker system placement involving conduction system pacing (His bundle and left bundle branch pacing) in children and adults with congenital heart disease.

Interventions by Type: 2023

76

28

21 20

13

8

IAC accreditation demonstrates a commitment to quality patient care and engagement

PDA closure

Coarctation procedure

ASD closure

Pulmonary valvuloplasty

Transcatheter pulmonary valve replacement

Proximal PA stent

in continuous quality improvement. IAC has recognized Riley Children’s in: ■ Cardiac electrophysiology – Device implantation and testing, and ablation ■ Cardiovascular catheterization – Complex adult congenital heart disease, pediatric cardiovascular catheterization and valve interventions

Cardiac Catheterization Volume: 2019 – 2023

698 736

650

599 594

2019

2020

2021

2022

2023

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Annual Report 2023 – 2024

317.944.8906

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